BRENDAN ALEXANDER BLACK

LEES SUMMIT, MO
NPI1104409143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2021023467)
Enumeration Date2021-04-28
Last Update Date2024-04-05
Business Address
BRENDAN ALEXANDER BLACK PT, DPT
1321 SW MARKET ST
LEES SUMMIT, MO 64081-2904
Phone number: 816-607-7180
Mailing Address
BRENDAN ALEXANDER BLACK PT, DPT
1321 SW MARKET ST
LEES SUMMIT, MO 64081-2904
Phone number: 816-607-7180
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