Individual
MS. BRANDI BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1706 E SEMORAN BLVD STE 107, APOPKA, FL 32703-5610
(407) 880-7772
Mailing address
3795 ROCK SPRINGS RD, APOPKA, FL 32712-5747
(321) 277-1884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36016
FL
Other
Enumeration date
10/07/2020
Last updated
10/08/2020
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