DALLES RAYDELL BLACK

TAMPA, FL
NPI1245797794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  16690)
Enumeration Date2019-02-20
Last Update Date2019-02-20
Business Address
DALLES RAYDELL BLACK
15002 HUTCHISON RD
TAMPA, FL 33625-5502
Phone number: 813-960-1969
Mailing Address
DALLES RAYDELL BLACK
2294 PRIMROSE LN APT 1606
CLEARWATER, FL 33763-1059
Phone number: 407-731-7695
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