Individual
ANTHONY M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 MARLBORO ST, WORCESTER, MA 01604-1737
(508) 210-7156
Mailing address
23 MARLBORO ST, WORCESTER, MA 01604-1737
(508) 210-7156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20845
MA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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