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Individual

MELISSA BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 943-4545
Mailing address
10701 NALL AVE, SUITE 130, OVERLAND PARK, KS 66211-1363

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011020334
MO

Other

Enumeration date
06/17/2011
Last updated
08/02/2011
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