JAN BLACK

SANDY, UT
NPI1568429967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251N0400X Physical Therapist Neurology
(Licence: UT  120890-2401)
Enumeration Date2006-04-28
Last Update Date2020-04-13
Business Address
JAN BLACK MS, PT
90 ALBION VILLAGE WAY
SANDY, UT 84070-4013
Phone number: 801-619-3670
Mailing Address
JAN BLACK MS, PT
90 ALBION VILLAGE WAY
SANDY, UT 84070-4013
Phone number: 801-619-3670
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