KELLY BLACK

OZARK, MO
NPI1629527049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2001031153)
Enumeration Date2016-09-27
Last Update Date2016-09-27
Business Address
-- KELLY BLACK PT
1114 W JACKSON ST
OZARK, MO 65721-9164
Phone number: 417-581-1234
Mailing Address
-- KELLY BLACK PT
1114 W JACKSON ST
OZARK, MO 65721-9164
Phone number:
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