KENNETH BLACK

Physical Therapy Assistant

NPI: 1073719050Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

14-01477(KS)

Contact & Hours

Address: 86TH 22ND AVE, MEMORIAL HOME
MOUNDRIDGE, KS 67107
Phone: (620) 345-2901

Location

Practice Location

86TH 22ND AVE, MOUNDRIDGE, KS

Quick Facts

NPI: 1073719050
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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