Doctor Name: | OKSANA BLACK |
NPI Number: | 1457497422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 22114 |
Business Practice Address: | 8415 Bellona Ln Suite 201 Towson, MD - 212042055 |
Business Phone Number: | 4108217775 |
Business Fax Number: | 4108216437 |
Mailing Address: | 8415 Bellona Ln, Suite 201 TOWSON |
State: | MD |
Postal Code: | 212042055 |
Phone Number: | 4108217775 |
Fax Number: | 4108216437 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |