Tina Marie Black
Occupational Therapist - Pediatrics
4502 Summer Gate Ct
Gainesville
, Georgia 30506-4677
Tina Marie Black
Occupational Therapist - Pediatrics
4502 Summer Gate Ct
Gainesville
, Georgia 30506-4677
(770) 536-0346
Write a Review Share Save Call
About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Tina Marie Black
- 4502 Summer Gate Ct
- Gainesville, GA
- Zip : 30506-4677
- Fax : (770) 536-0346
- Phone : (770) 378-5986
Second Address
- Tina Marie Black
- 4502 Summer Gate Ct
- Gainesville, GA
- Zip : 30506-4677
- Fax : (770) 536-0346
- Phone : (770) 378-5986
Reviews
FAQs
Where did Tina Marie Black attend graduate school?
Where did Tina Marie Black do her residency?
Where did Tina Marie Black do her fellowship?
Is Tina Marie Black board certified?
What type of doctor is Tina Marie Black
In what state does Tina Marie Black practice in?
Where is Tina Marie Black ’s practice located?
What is Tina Marie Black ’s gender?
Is Tina Marie Black a sole practitioner?
Is Tina Marie Black accepting new patients?
What languages does Tina Marie Black speak?
Does Tina Marie Black accept insurance?
Does Tina Marie Black offers telemedicine?
What is Tina Marie Black ’s professional license number?
What is Tina Marie Black ’s NPI number?
Does Tina Marie Black have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT003199 | GA |
National Provider Identifier
| NPI | 1013087428 |
|---|---|
| Provider Name | Tina Marie Black |
| First Address | Gainesville, GA 30506-4677 |
| Second Address | Gainesville, GA 30506-4677 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10038361 | AMERIGROUP (01) | GA |
| 307327 | WELLCARE (01) | GA |
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.