Black, Dana W

Black, Dana W is an individual health care provider with primary practice located at 1700 Ne Indian River Dr , Jensen Beach FL 34957-5853. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Black, Dana W can be contacted via phone (772) 225-1355.

Contact Information

Primary practice address
1700 Ne Indian River Dr Jensen Beach FL 34957-5853
Phone: (772) 225-1355
Fax: (772) 225-8037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA9730 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT19708 Florida

Profile Details

NPI number 1952557720
LBN Legal business name Black, Dana W
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Jan 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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