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Contact Information

RACHEL A BLACK
40 GLENRIDGE DR
AUGUSTA, ME04330-6606
 Phone: 207-621-3666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for RACHEL A BLACK · (Female)

NPI # 1194011601
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2011
Last updated 06/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ME License # OA2206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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