Full Name | Julie Black |
---|---|
Gender | Female |
Speciality | Skilled Nursing Facility - Nursing Care, Pediatric |
Location | 4900 Hedgewood Dr, Midland, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215326350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1215326350 (Michigan) | Secondary |
3140N1450X | Skilled Nursing Facility - Nursing Care, Pediatric | (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Julie Black, 4900 Hedgewood Dr, Midland, MI 48640-1928 Ph: (989) 631-9670 | Julie Black, 4900 Hedgewood Dr, Midland, MI 48640 Ph: (989) 631-9670 |
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