Evelyn J Black, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Lakeland, FL

NPI

1649368762

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA18831 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-11

Last updated

2007-07-08