Latonya Black, PTA
Physical Therapy Assistant in Orland Park, IL. Individual provider (NPI-1).
NPI number1376765263
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376765263
- Entity type
- Individual (NPI-1)
- Name
- Latonya Black
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160004482 | IN | Yes |
Practice location
16170 Kingsport RoadOrland Park, IL 60467
Phone 708-349-6544
Mailing address
2117 Porte De Leau Ct Apt 301Highland, IN 46322
Phone 708-349-6544
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All 61 Physical Therapy Assistant providers in Orland Park · All 2,666 providers in Orland Park
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