Deronda Ann Black OTR

  • NPI 1316114150
According to our database, the NPI number for Deronda Ann Black OTR is 1316114150 and activated since 15 years ago. Deronda Ann Black OTR is an individual provider who specializes in Pediatrics, and the primary practice location is 14416 Portage Rd, Vicksburg, MI 49097. You can also contact Deronda Ann Black OTR via telephone number is (269) 649-1848. Provider NPI information was last updated on 05/12/2008.

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Overview of Deronda Ann Black OTR

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/12/2008
  • Last updated: 05/12/2008

Primary Scrop of Practice

  • Taxonomy Code: 225XP0200X
  • Specialty: Pediatrics
  • License Number: 31004281A
  • License State: IN

Provider Mailing Address

  • Address: Po Box 202
    Vicksburg, MI 49097
  • Phone: 269-649-1848
  • Fax: 269-649-1848

Provider Practice Location

  • Address: 14416 Portage Rd
    Vicksburg, MI 49097
  • Phone: 269-649-1848
  • Fax: 269-649-1848

Scope of Practice

  • Taxonomy Code: 225XP0200X
  • Specialty: Pediatrics
  • License Number: 31004281A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Deronda Ann Black OTR?
  • A: The npi number for Deronda Ann Black OTR is 1316114150.
  • Q: What are Deronda Ann Black OTR's specialties?
  • A: Deronda Ann Black OTR's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Deronda Ann Black OTR?
  • A: The medical license number for Deronda Ann Black OTR is 31004281A and issued in IN in USA.
  • Q: Where is Deronda Ann Black OTR practice location?
  • A: Deronda Ann Black OTR is practicing at 14416 Portage Rd, Vicksburg, MI 49097.
  • Q: How to contact Deronda Ann Black OTR?
  • A: You can contact Deronda Ann Black OTR via 269-649-1848.