Individual provider · Type 1 NPI

Jessica Anne Black

Occupational Therapist · Indianapolis, IN

NPI number 1336102607 Active

Practice location

9302 N Meridian St Ste 190
Indianapolis, IN 46260-1818

Call (317) 843-1270 Map

Fax (317) 843-4174

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X5296 (NC)
Hand Occupational Therapist 225XH1200X5296 (NC)
Occupational Therapist Primary 225X00000X31005917A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1336102607

Jessica Anne Black's National Provider Identifier is 1336102607, issued on Apr 8, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 7, 2016.