National Provider Identifier
Denise Lee Black
Denise Lee Black is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Lockport, NY and a listed phone number of (716) 478-4925.
Profile Overview
- NPI
- 1376851246
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 14, 2010
- Last Updated
- September 14, 2010
Practice Location
- 389 Green Street
- Lockport, NY 14094
Phone: (716) 478-4925
Mailing Address
- 389 Green St
- Room 128
- Lockport, NY 14094-2013
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1376851246
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Denise
- Middle Name
- Lee
- Name Prefix
- Mrs.
- Mailing Street Address
- 389 Green St
- Mailing Address Line 2
- Room 128
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-2013
- Mailing Country
- US
- Mailing Phone
- (716) 478-4725
- Mailing Fax
- (716) 478-4730
- Practice Street Address
- 389 Green Street
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094
- Practice Country
- US
- Practice Phone
- (716) 478-4925
- Practice Fax
- (716) 478-4730
- Enumeration Date
- September 14, 2010
- Last Updated
- September 14, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)