Doctor Name: | DR. JILL DIANE BLACK |
NPI Number: | 1184818601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, EDD |
License Number: | J10000513 |
Business Practice Address: | 701 Savannah Rd A-1 Lewes, DE - 199581550 |
Business Phone Number: | 3026442530 |
Business Fax Number: | 3026442556 |
Mailing Address: | 701 Savannah Rd, A-1 LEWES |
State: | DE |
Postal Code: | 199581550 |
Phone Number: | 3026442530 |
Fax Number: | 3026442556 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J10000513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |