Individual
DR. LISA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11524 SPAULDING ST, OMAHA, NE 68164-2366
(402) 492-8872
Mailing address
11524 SPAULDING ST, OMAHA, NE 68164-2366
(402) 492-8872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
558
NE
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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