GRANT MICHAEL BLACK

LONGMONT, CO
NPI1043986888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  PTL.0017868)
Enumeration Date2021-08-20
Last Update Date2024-09-16
Business Address
GRANT MICHAEL BLACK PT, DPT
1610 DRY CREEK DR
LONGMONT, CO 80503-6405
Phone number: 720-494-4750
Mailing Address
GRANT MICHAEL BLACK PT, DPT
1610 DRY CREEK DR
LONGMONT, CO 80503-6405
Phone number: 720-494-4750
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