Elizabeth A Black, BS PT

NPI #1932179025 in Gresham, Oregon

Provider Information

NPI Number: 1932179025
Entity Type: Individual
Name: Elizabeth A Black, BS PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: BS PT
Enumeration Date: Jan 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7927 SE ORIENT DR
City: Gresham
State: Oregon
ZIP Code: 97080
Phone: (503) 663-0332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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