DR. Jill Diane Black, PT, DPT, EDD

NPI #1184818601 in Lewes, Delaware

Provider Information

NPI Number: 1184818601
Entity Type: Individual
Name: DR. Jill Diane Black, PT, DPT, EDD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, EDD
Enumeration Date: Aug 28, 2007
Last Updated: Jul 3, 2014

Practice Location

Address: 701 SAVANNAH RD
Address 2: A-1
City: Lewes
State: Delaware
ZIP Code: 19958-1550
Phone: (302) 644-2530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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