Individual provider · Type 1 NPI

Deronda Ann Black, OTR

Pediatric Occupational Therapist · Vicksburg, MI

NPI number 1316114150 Active

Practice location

14416 Portage Rd
Vicksburg, MI 49097-9732

Fax (269) 649-1848

Mailing address

PO Box 202
Vicksburg, MI 49097-0202

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist Primary 225XP0200X31004281A (IN)

Pediatric Occupational Therapist: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challeng…

About NPI 1316114150

Deronda Ann Black, OTR's National Provider Identifier is 1316114150, issued on May 12, 2008. The primary taxonomy on file is Pediatric Occupational Therapist (225XP0200X), and the practice location is in Vicksburg, MI. The record was last updated on May 12, 2008.