Individual
GAIL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
282 CABOT ST, HOLYOKE, MA 01040-3141
(413) 738-7470
Mailing address
282 CABOT ST, HOLYOKE, MA 01040-3141
(413) 738-7470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT 7046
MA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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