| Matthew Black, OTD | |
|
5241 23rd Infantry Regiment St Bldg 3410, Fort Moore, GA 31905-5922 | |
| (541) 226-7995 | |
| Not Available |
| Full Name | Matthew Black |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 5241 23rd Infantry Regiment St Bldg 3410, Fort Moore, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093594319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Black, OTD 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (541) 226-7995 | Matthew Black, OTD 5241 23rd Infantry Regiment St Bldg 3410, Fort Moore, GA 31905-5922 Ph: (541) 226-7995 |
Christin Noel Boyd, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Martin Army Community Hospital, 6600 Van Aalst Blvd., Fort Moore, GA 31905 Phone: 850-885-7777 | |
Amelia Lea Butler, DSC, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 908-329-8203 | |
Etinosa Obadagbonyi, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 832-264-1759 | |
Susan B Williamson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-545-9114 |