Individual
DEBORAH DOMAL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 MAIN ST, FLORENCE, KY 41042-2269
(859) 980-7200
Mailing address
2628 LEGACY RDG, FLORENCE, KY 41042-8403
(859) 466-4923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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