Amanda Black, MOT, OTR/L
Amanda Black, MOT, OTR/L is a Pediatric Occupational Therapist in Potlatch, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
510 Elm StPotlatch, ID 83855
Phone: (208) 669-3186
Fax: (208) 747-0782
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 904 White Ave, Moscow, ID 83843-3932 — (208) 882-1426
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-1112 (ID) |
|---|---|
| Pediatric Occupational Therapist | Taxonomy 225XP0200X · Licence OT-1112 (ID) |
Record details
| NPI number | 1992362818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT , OTR/L |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2019 |
| Last updated in NPPES | April 8, 2022 |
| Certification date | April 8, 2022 |
Other providers in Potlatch
-
Palouse Ridge Occupational Therapy PLLC
510 Elm St, Potlatch, ID 83855 · (208) 669-3186