Individual
JULIA M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2700 VIKINGS CIR, EAGAN, MN 55121-1002
(952) 456-7600
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13077
MN
Other
Enumeration date
06/13/2023
Last updated
03/05/2024
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