LATONYA BLACK

ORLAND PARK, IL
NPI1376765263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  160004482)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- LATONYA BLACK PTA
16170 KINGSPORT ROAD
ORLAND PARK, IL 60467
Phone number: 708-349-6544
Mailing Address
-- LATONYA BLACK PTA
2117 PORTE DE LEAU CT APT 301
HIGHLAND, IN 46322
Phone number: 708-349-6544
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