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1225144801
KATHI BLACK
BRANDON, FL
NPI
1225144801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- KATHI BLACK
2406 W BRANDON BLVD
BRANDON, FL 33511-4717
Phone number: 813-654-0686
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Mailing Address
-- KATHI BLACK
11201 MIST MOOR CT
RIVERVIEW, FL 33569-6314
Phone number: 813-577-4437
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