Individual
LEIGH ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 937-6500
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 937-6500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3303
SC
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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