Individual provider · Type 1 NPI

Kelly Black, OTR/L

Occupational Therapist · Fayetteville, NC

NPI number 1942550405 Active

Practice location

4101 Raeford Rd
Fayetteville, NC 28304-4114

Mailing address

1041 Parkers Ridge Dr
Fuquay Varina, NC 27526-5892

Other practice locations

  • 5000 S 5th Ave, Hines, IL 60141-3030 · (708) 202-8387

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X056.009759 (IL)
Occupational Therapist Primary 225X00000X11328 (NC)

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…

3 other providers at this address

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About NPI 1942550405

Kelly Black, OTR/L's National Provider Identifier is 1942550405, issued on Sep 12, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 17, 2020.