Individual
MRS. ANGELA KAY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
1019 BAYOU ST, VINCENNES, IN 47591-2731
(812) 882-6972
(812) 885-2371
Mailing address
1019 BAYOU STREET, VINCENNES, IN 47591
(812) 882-6972
(812) 885-2371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002671A
IN
Other
Enumeration date
10/11/2006
Last updated
03/11/2009
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