Individual
AMBER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 N CAPITOL AVE, INDIANAPOLIS, IN 46204-1234
(317) 860-1646
Mailing address
433 N CAPITOL AVE, INDIANAPOLIS, IN 46204-1234
(317) 860-1646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004308A
IN
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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