Individual
STEPHEN ARTHUR BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 OGDEN ST, SAN ANTONIO, TX 78212-4393
(210) 225-2336
Mailing address
501 OGDEN ST, SAN ANTONIO, TX 78212-4393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2141957
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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