Black, Susan Gail

Black, Susan Gail is an individual health care provider with primary practice located at 2120 Exeter Rd , Germantown TN 38138-3922. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Black, Susan Gail can be contacted via phone (901) 624-8677.

Contact Information

Primary practice address
2120 Exeter Rd Germantown TN 38138-3922
Phone: (901) 624-8677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1461 Tennessee

Profile Details

NPI number 1679696074
LBN Legal business name Black, Susan Gail
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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