| NPI | 1558518092 |
|---|---|
| Former Name | KAREN SUE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT13086) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |