MRS. Angela Kay Black, MS, PT

NPI #1780773622 in Vincennes, Indiana

Provider Information

NPI Number: 1780773622
Entity Type: Individual
Name: MRS. Angela Kay Black, MS, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MS, PT
Enumeration Date: Oct 11, 2006
Last Updated: Mar 11, 2009

Practice Location

Address: 1019 BAYOU ST
City: Vincennes
State: Indiana
ZIP Code: 47591-2731
Phone: (812) 882-6972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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