GREGORY BLACK

STOCKTON, CA
NPI1225153091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT16285)
Enumeration Date2007-03-20
Last Update Date2017-04-24
Business Address
-- GREGORY BLACK PT, OCS
10200 TRINITY PKWY SUITE 205
STOCKTON, CA 95219-7286
Phone number: 209-451-3920
Mailing Address
-- GREGORY BLACK PT, OCS
534 E PINE ST
STOCKTON, CA 95204-5536
Phone number: 209-463-5800
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