DAVID A BLACK

ROCKFORD, IL
NPI1508874165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-006923)
Enumeration Date2006-08-03
Last Update Date2012-09-05
Business Address
Mr. DAVID A BLACK PT, MS, OCS
2662 MCFARLAND RD
ROCKFORD, IL 61107-6806
Phone number: 815-227-1700
Mailing Address
Mr. DAVID A BLACK PT, MS, OCS
2662 MCFARLAND RD
ROCKFORD, IL 61107-6806
Phone number: 815-227-1700