DEVIN BLACK

SALT LAKE CITY, UT
NPI1154745149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60280462)
Enumeration Date2014-02-11
Last Update Date2014-02-11
Business Address
-- DEVIN BLACK
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
Mailing Address
-- DEVIN BLACK
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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