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Michelle Black

Physical Therapist in Owings Mills, MD. Individual provider (NPI-1).

NPI number1508964396
StatusActive
Last updated in NPPESNov 2, 2020

Details

NPI
1508964396
Entity type
Individual (NPI-1)
Name
Michelle Black
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2006
Certification date
Nov 2, 2020
Last updated
Nov 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist19159MDYes
225100000X Physical TherapistPT2843DC
225100000X Physical Therapist––

Practice location

10995 Owings Mills Blvd Ste 210
Owings Mills, MD 21117-1030

Phone 410-654-2300 · Fax 410-654-4561

Mailing address

5454 Wisconsin Ave
Suite 1555
Chevy Chase, MD 20815

Phone 301-951-8593 · Fax 301-951-8598

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