DORIS BLACK

PORT ORANGE, FL
NPI1790125854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  6201)
Enumeration Date2013-07-03
Last Update Date2013-07-03
Business Address
-- DORIS BLACK
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
Mailing Address
-- DORIS BLACK
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
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