Ryan Black
NPI #1306218425 in Brandon, Mississippi
Provider Information
- NPI Number
- 1306218425
- Entity Type
- Individual
- Name
- Ryan Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Oct 28, 2015
Practice Location
- Address
- 355 CROSSGATES BLVD
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2602
- Phone
- (601) 825-3192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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