EVELYN J BLACK

LAKELAND, FL
NPI1649368762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA18831)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mrs. EVELYN J BLACK PTA
417 S FLORIDA AVE
LAKELAND, FL 33801-5226
Phone number: 863-688-1800
Mailing Address
Mrs. EVELYN J BLACK PTA
2375 RIVERWOOD DR
MULBERRY, FL 33860-8322
Phone number: 863-370-2562
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