Individual
DR. JENNIFER ELISE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
590 MEDICAL PARK DR, MARSHALL, NC 28753-6807
(828) 649-9566
Mailing address
PO BOX 69, MARSHALL, NC 28753-0069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17101
NC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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