MERRITT R BLACK

SACRAMENTO, CA
NPI1518218460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  3207)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
-- MERRITT R BLACK
3205 HURLEY WAY
SACRAMENTO, CA 95864-3853
Phone number: 915-648-5677
Mailing Address
-- MERRITT R BLACK
3205 HURLEY WAY
SACRAMENTO, CA 95864-3853
Phone number: 915-648-5677
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