-- DARRA BLACK -- LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1821250093- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 17111 SE BUSH ST, PORTLAND, OR, 972361260
- Phone
- (503) 465-1031
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #7725