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1659631240
LISA BLACK
OMAHA, NE
NPI
1659631240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 558)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
Dr. LISA BLACK PT, DPT
11524 SPAULDING ST
OMAHA, NE 68164-2366
Phone number: 402-492-8872
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Mailing Address
Dr. LISA BLACK PT, DPT
11524 SPAULDING ST
OMAHA, NE 68164-2366
Phone number: 402-492-8872
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