Individual
MEGHAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
Mailing address
105 RIVERSTONE LN, BELLEFONTE, PA 16823-7644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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