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Individual
CAROLYN BLACK
Active
Individual
CAROLYN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
274832
MA
208100000X
Physical Medicine & Rehabilitation Physician
MD61142658
WA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD61142658
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2015
Last updated
11/24/2025
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