Individual
DR. MICHAEL EMERY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
Mailing address
2525 SOUTH 135TH AVENUE, OMAHA, NE 68144
(402) 333-2304
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2314
NE
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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