STEPHEN DOUGLAS BLACK

INDIANAPOLIS, IN
NPI1962735480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007586A)
Enumeration Date2009-09-16
Last Update Date2009-09-16
Business Address
-- STEPHEN DOUGLAS BLACK PT
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-3640
Mailing Address
-- STEPHEN DOUGLAS BLACK PT
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number:
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