TINA MARIE BLACK

GAINESVILLE, GA
NPI1013087428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT003199)
Enumeration Date2006-11-09
Last Update Date2007-07-09
Business Address
-- TINA MARIE BLACK
4502 SUMMER GATE CT
GAINESVILLE, GA 30506-4677
Phone number: 770-378-5986
Mailing Address
-- TINA MARIE BLACK
4502 SUMMER GATE CT
GAINESVILLE, GA 30506-4677
Phone number: 770-378-5986
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