TERESA LYN BLACK

MUSCODA, WI
NPI1417265059
Other NameTERI BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  66-27)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
Mrs. TERESA LYN BLACK
800 NORTH SIXTH STREET RIVERDALE ELEMENTARY SCHOOL
MUSCODA, WI 53573
Phone number: 608-739-3101
Mailing Address
Mrs. TERESA LYN BLACK
800 NORTH SIXTH STREET RIVERDALE ELEMENTARY SCHOOL
MADISON, WI 53573
Phone number: 608-739-3101