Doctor Name: | MRS. JODY REBECCA BLACK |
NPI Number: | 1215133764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT013854L |
Business Practice Address: | 929 14th St Huntingdon, PA - 166523028 |
Business Phone Number: | 8146430337 |
Business Fax Number: | 8146439231 |
Mailing Address: | 1511 Saint Francis Ln, ALTOONA |
State: | PA |
Postal Code: | 166027364 |
Phone Number: | 8149438250 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT013854L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |