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

Tina Marie Black

Individual provider Pediatric Occupational Therapist · NPI 1013087428

Tina Marie Black is a Pediatric Occupational Therapist in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

4502 Summer Gate Ct
Gainesville, GA 30506-4677
Phone: (770) 378-5986
Fax: (770) 536-0346
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT003199 (GA)

Record details

NPI number1013087428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 9, 2007

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