Laura Elena Black PT

NPI 1770979080 - Physical Therapist - 2251G0304X

NPI Details
NPI 1770979080
Gender Female
Enumeration Date 04/13/2015
Last Updated 04/13/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1420 SHOREVIEW CV
AUSTIN TX, 78732-2233, US
Phone (512) 299-4626
Fax
Business Location
1420 SHOREVIEW CV
AUSTIN TX, 78732-2233, US
Phone (512) 299-4626
Fax
Toxanomy
Taxonomy Code 2251G0304X
License State Texas
License Number 1168830
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According to our database, Laura Elena Black PT NPI is 1770979080, taxonomy code is 2251G0304X and license number is 1168830, license state is located at Texas. Laura Elena Black PT physically located at 1420 Shoreview Cv, Austin TX, 78732-2233. NPI Number Laura Elena Black PT has the Individual type.

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1770979080 NPI number is provided on an as is basis without warranty of any kind. 1770979080 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Elena Black PT are for informational purposes only.