Black, Jessica

Black, Jessica is an individual health care provider with primary practice located at 1705 Jess Parrish Ct , Titusville FL 32796-2158. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Black, Jessica can be contacted via phone (321) 269-5720.

Contact Information

Primary practice address
1705 Jess Parrish Ct Titusville FL 32796-2158
Phone: (321) 269-5720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 0TA14422 Florida

Profile Details

NPI number 1760046973
LBN Legal business name Black, Jessica
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Apr 24th, 2019 - about 5 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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