LYNDEE BLACK

ADA, OK
NPI1891940862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1045)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA 1747)
224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA 03939)
224Z00000X Occupational Therapy Assistant
(Licence: MO  2005017458)
Enumeration Date2008-11-18
Last Update Date2008-11-18
Business Address
-- LYNDEE BLACK COTA/L
430 N MONTE VISTA ST
ADA, OK 74820-4610
Phone number: 508-421-1183
Mailing Address
-- LYNDEE BLACK COTA/L
6551 PARK OF COMMERCE BLVD
BOCA RATON, FL 33487-8218
Phone number: 800-347-2264
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