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Individual

MRS. EMILY BRIGANCE BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
600 WHITESPORT CIR SW, HUNTSVILLE, AL 35801-6495
(256) 512-0941
Mailing address
158 WORD LN, HARVEST, AL 35749-5810
(256) 603-0803

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3102
AL

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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