Mrs Jennifer Black, OTR/L | |
11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 | |
(240) 284-2600 | |
Not Available |
Full Name | Mrs Jennifer Black |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 11046 New Georges Creek Rd Sw, Frostburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033666714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 08012 (Maryland) | Primary |
Provider Name | School Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144774506 PECOS PAC ID: 9537495809 Enrollment ID: O20190724001231 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Black, OTR/L 11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 Ph: (240) 284-2600 | Mrs Jennifer Black, OTR/L 11046 New Georges Creek Rd Sw, Frostburg, MD 21532-1448 Ph: (240) 284-2600 |
Lexi Broadwater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 | |
Pamela Jean O' Baker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Kaylor Cir, Frostburg, MD 21532 Phone: 301-689-7500 | |
Miss Laura E Nawiesniak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Kaylor Cir, Frostburg, MD 21532 Phone: 301-689-7500 | |
Erica Ronnie Cunningham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 | |
Renel Kennell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Kaylor Cir, Frostburg, MD 21532 Phone: 301-689-7500 | |
Sarah Elizabeth Rogers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11046 New Georges Creek Rd Sw, Frostburg, MD 21532 Phone: 240-284-2600 |