Dalles Raydell Black

Occupational Therapy Assistant · Tampa, FL

Individual Active NPI

NPI number 1245797794

Practice location

15002 Hutchison Rd
Tampa, FL 33625-5502
Phone
(813) 960-1969

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NPI record

NPI
1245797794
Entity type
Individual (Type 1)
Enumeration date
February 20, 2019
Last updated
February 20, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 16690 FL

Mailing address

2294 Primrose Ln Apt 1606
Clearwater, FL 33763-1059
Phone
(407) 731-7695

About Dalles Black

Dalles Raydell Black is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 15002 Hutchison Rd, Tampa, FL 33625-5502. The NPI number 1245797794 was assigned on February 20, 2019 and the record was last updated on February 20, 2019.

Dalles Black lists a license in the registry: #16690 (FL) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dalles Raydell Black?

The NPI number is 1245797794.

What is the phone number of Dalles Black?

The phone number listed for the practice location is (813) 960-1969.

Where is Dalles Black located?

15002 Hutchison Rd, Tampa, FL 33625-5502.

What is the taxonomy code for Dalles Black?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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