Maresa Black, MOT, OTR/L Valid NPI

Individual provider · Pediatric Occupational Therapist · Sandpoint, ID

NPI

1750758702

Type

Individual (Type 1)

Primary specialty

Pediatric Occupational Therapist (Occupational Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225XP0200X

License number

OT-1405 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2015-08-25

Last updated

2016-05-13