Charles Glenn Black, PT

NPI #1053424234 in Severn, Maryland

Provider Information

NPI Number
1053424234
Entity Type
Individual
Name
Charles Glenn Black, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 15, 2006
Last Updated
May 26, 2009

Practice Location

Address
1231 COLONIAL PARK DR
City
Severn
ZIP Code
21144-4417
Phone
(410) 570-1446

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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