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Contact Information

JENNA BLACK, CTRS, CBIS. ATRIC
28328 N SKYE DR
FARMINGTON HILLS, MI48334-5335
 Phone: 586-709-8966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for JENNA BLACK · (Female)

NPI Number 1407416886
Status Active
Credentials CTRS, CBIS. ATRIC
Entity Individual
Enumeration date 06/18/2019
Last updated 06/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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