DARRA BLACK

PORTLAND, OR
NPI1821250093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7725)
Enumeration Date2008-06-30
Last Update Date2008-06-30
Business Address
-- DARRA BLACK LPTA
17111 SE BUSH ST
PORTLAND, OR 97236-1260
Phone number: 503-465-1031
Mailing Address
-- DARRA BLACK LPTA
17111 SE BUSH ST
PORTLAND, OR 97236-1260
Phone number: 503-465-1031
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