AUSTIN JOEL BLACK

INDIANAPOLIS, IN
NPI1942966064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06006408A)
Enumeration Date2021-11-12
Last Update Date2021-11-12
Business Address
AUSTIN JOEL BLACK PTA
8140 TOWNSHIP LINE RD
INDIANAPOLIS, IN 46260-5824
Phone number: 317-875-9700
Mailing Address
AUSTIN JOEL BLACK PTA
3724 KNICKERBOCKER PL APT 1D
INDIANAPOLIS, IN 46240-2186
Phone number: 317-294-1584
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