-- RENEE BLACK --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1508282088- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4560 SE INTERNATIONAL WAY SUITE 100, MILWAUKIE, OR, 972224628
- Phone
- (971) 206-5200
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #07542
All Addresses
MAILING
4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE, OR, 972224628