Individual
ELIZABETH (BETH) BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8100 CONSTITUTION PL NE, STE 120 PRESBYTERIAN HOME HEALTHCARE, ALBUQUERQUE, NM 87110
(505) 938-6994
Mailing address
900 8TH ST NW, ALBUQUERQUE, NM 87102
(505) 764-0396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1495
NM
Other
Enumeration date
05/14/2007
Last updated
10/17/2008
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