Lou Anne Black, OTR/L

Individual provider Active NPI Occupational Therapist · Dunn, NC

NPI 1639344666 · NPPES record last updated Apr 12, 2011

Key facts

NPI
1639344666
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2083 (NC)
Practice address
111 S Railroad Ave
Dunn, NC 28334-4853
Phone
(910) 892-0027
Fax
(910) 892-0029
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapy Services Inc Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2083 NC Yes

Addresses

Primary practice location

111 S Railroad Ave
Dunn, NC 28334-4853

Mailing address

111 S Railroad Ave
Dunn, NC 28334-4853
Phone (910) 892-0027

Other identifiers

IdentifierTypeStateIssuer
720777YMedicaidNC
0777YOtherNCBCBS

Other providers in Dunn, NC

All providers in Dunn, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.