KEITH BLACK

GREENVILLE, SC
NPI1942861851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PTT4746)
Enumeration Date2019-06-23
Last Update Date2019-06-23
Business Address
KEITH BLACK DPT
536 OLD HOWELL RD
GREENVILLE, SC 29615-1969
Phone number: 864-244-3626
Mailing Address
KEITH BLACK DPT
1631 E AMELIA ST
ORLANDO, FL 32803-5504
Phone number: 954-261-7347
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