Deronda Ann Black, OTR
Deronda Ann Black, OTR is a Pediatric Occupational Therapist in Vicksburg, Michigan. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2008
What do these letters mean?
- OTR — Occupational Therapist, Registered
- A nationally registered occupational therapist.
Practice location Address checks out
14416 Portage RdVicksburg, MI 49097-9732
Phone: (269) 649-1848
Fax: (269) 649-1848
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 31004281A (IN) |
|---|
Record details
| NPI number | 1316114150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2008 |
| Last updated in NPPES | May 12, 2008 |