Individual
MS. SHARON BETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
421 CHESAPEAKE DR, SEARCY, AR 72143-7035
(501) 368-0947
Mailing address
421 CHESAPEAKE DR, SEARCY, AR 72143-7035
(501) 368-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1857
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U464
BCBS
AR
Enumeration date
11/29/2006
Last updated
07/08/2007
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