Individual
JAMES BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
213 CALIFORNIA CT, MISSION VIEJO, CA 92692-4082
(949) 305-9446
Mailing address
213 CALIFORNIA STREET, MISSION VIEJO, CA 92692
(949) 305-9446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3319
CA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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