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

Individual provider Pediatric Occupational Therapist · NPI 1679696074

Susan Gail Black, OTR is a Pediatric Occupational Therapist in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2120 Exeter Rd
Germantown, TN 38138-3922
Phone: (901) 624-8677
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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 1461 (TN)

Record details

NPI number1679696074
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007

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