Justin Black
Justin Black is an Occupational Therapy Assistant in Valliant, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
508 E Wilson StValliant, OK 74764-9115
Phone: (580) 743-6553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 1513 (OK) |
|---|
Record details
| NPI number | 1245969138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 404 Allen St, Broken Bow, OK 74728-3136 |
Other providers in Valliant
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Amanda Colson
508 E Wilson St, Valliant, OK 74764-9115 · (580) 743-6553
-
Speech Therapy for SE Oklahoma LLC
508 E Wilson St, Valliant, OK 74764-9115 · (580) 743-6553