Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophie Champagne Black

Individual provider Occupational Therapist · NPI 1093920522

Sophie Champagne Black is an Occupational Therapist in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

310 Autumn Ridge Dr
Kosciusko, MS 39090-3242
Phone: (662) 289-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT0533 (MS)

Record details

NPI number1093920522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESDecember 29, 2009

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