Organization
FULL CIRCLE PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDALL BLACK MPT, CSCS (PRINCIPLE PHYSICAL THERAPIST)
(917) 804-8707
Entity
Organization
Contact information
Practice address
904 E CAPITOL ST NE BSMT, WASHINGTON, DC 20003-3904
(917) 804-8707
Mailing address
904 E CAPITOL ST NE BSMT, WASHINGTON, DC 20003-3904
(917) 804-8707
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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