LESLIE BLACK

MEDFORD, OR
NPI1982183349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  02834)
Enumeration Date2018-08-07
Last Update Date2018-08-07
Business Address
LESLIE BLACK PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5037
Mailing Address
LESLIE BLACK PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5037
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