Individual
MADISON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 N FRANKLIN DR STE 4-5, WASHINGTON, PA 15301-5874
(724) 705-7050
Mailing address
7995 REMINGTON DR, PITTSBURGH, PA 15237-6259
(724) 553-9295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
PA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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