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Individual

LAUREL BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4635 GREENWAY DR UNIT B, KNOXVILLE, TN 37918-2118
(865) 546-0801
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15352
TN

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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