SUSAN GAIL BLACK

GERMANTOWN, TN
NPI1679696074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: TN  1461)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- SUSAN GAIL BLACK OTR
2120 EXETER RD
GERMANTOWN, TN 38138-3922
Phone number: 901-624-8677
Mailing Address
-- SUSAN GAIL BLACK OTR
1876 SNOWDEN AVE REAR APT.
MEMPHIS, TN 38107-5119
Phone number: 901-274-3353
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