Black, Maresa
Black, Maresa is an individual health care provider with primary practice located at 506 Alder St Fl 2 , Sandpoint ID 83864-1567. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Black, Maresa can be contacted via phone (208) 627-8615.Contact Information
Primary practice address
506 Alder St Fl 2
Sandpoint ID 83864-1567
Phone: (208) 627-8615
Fax: (208) 441-2641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT-1405 | Idaho |
Profile Details
NPI number | 1750758702 |
---|---|
LBN Legal business name | Black, Maresa |
Credentials | MOT, OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2015 |
Last updated | May 13th, 2016 - about 9 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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