Individual provider · Type 1 NPI
Amanda Black, MOT, OTR/L
Occupational Therapist · Potlatch, ID
Practice location
510 Elm St
Potlatch, ID 83855
Fax (208) 747-0782
Mailing address
1026 Grange Park Rd
Princeton, ID 83857-5500
Other practice locations
- 904 White Ave, Moscow, ID 83843-3932 · (208) 882-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-1112 (ID) |
| Occupational Therapist Primary | 225X00000X | OT-1112 (ID) |
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…
Another provider at this address
About NPI 1992362818
Amanda Black, MOT, OTR/L's National Provider Identifier is 1992362818, issued on May 27, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Potlatch, ID. The record was last updated on Apr 8, 2022.