Individual
ABIGAIL ROGERS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 TYLER LN, LOUISVILLE, KY 40205-2633
(502) 718-7295
Mailing address
2228 TYLER LN, LOUISVILLE, KY 40205-2633
(502) 718-7295
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
02/05/2024
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