Mrs. Katie Ogletree Black
Occupational Therapist - Neurorehabilitation
1350 E Woodrow Wilson Ave
Jackson
, Mississippi 39216-5112
Mrs. Katie Ogletree Black
Occupational Therapist - Neurorehabilitation
1350 E Woodrow Wilson Ave
Jackson
, Mississippi 39216-5112
(601) 981-2611
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Katie Ogletree Black
- 1350 E Woodrow Wilson Ave
- Jackson, MS
- Zip : 39216-5112
- Phone : (601) 981-2611
Second Address
- Mrs. Katie Ogletree Black
- 1350 E Woodrow Wilson Ave
- Jackson, MS
- Zip : 39216-5112
- Phone : (601) 981-2611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1731 | MS |
National Provider Identifier
| NPI | 1053579409 |
|---|---|
| Provider Name | Mrs. Katie Ogletree Black |
| First Address | Jackson, MS 39216-5112 |
| Second Address | Jackson, MS 39216-5112 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2008 |
| Last Update Date | 01/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.