Liza Black
NPI #1972049153 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1972049153
- Entity Type
- Individual
- Name
- Liza Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 12, 2017
- Last Updated
- Jan 12, 2017
Practice Location
- Address
- 1 LINNIE COURT
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015
- Phone
- (505) 268-7838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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