Individual
ERICA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
520 S HULL ST, MONTGOMERY, AL 36104-4610
(334) 834-2920
Mailing address
520 S HULL ST, MONTGOMERY, AL 36104-4610
(334) 834-2920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4711
AL
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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