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KELLY BLACK, PT
PT
Physical Therapist
NPI: 1629527049IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
2001031153(MO)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 1114 W JACKSON ST
OZARK, MO 65721 - Phone
- (417) 581-1234
Quick Facts
- NPI
- 1629527049
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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