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1770979080
LAURA ELENA BLACK
AUSTIN, TX
NPI
1770979080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: TX 1168830)
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
-- LAURA ELENA BLACK PT
1420 SHOREVIEW CV
AUSTIN, TX 78732-2233
Phone number: 512-299-4626
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Mailing Address
-- LAURA ELENA BLACK PT
1420 SHOREVIEW CV
AUSTIN, TX 78732-2233
Phone number: 512-299-4626
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