NPI 1053579409

Katie Ogletree Black, OT

Practitioner Neurorehabilitation Occupational Therapist Jackson, MS

Practice location

Address: 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112
Phone: (601) 981-2611

Registered specialties

Neurorehabilitation Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XN1300X Licence 1731 (MS)

Other Occupational Therapist providers in Mississippi →

Registry record

NPI: 1053579409
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2008
Record last updated: 1 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.