MISTY BLACK, PTA

Physical Therapy Assistant

Active Individual
NPI: 1043386220

Practice Address

100 PLEASANT HILL AVE N
Sebastopol, CA 95472

Phone: (707) 829-3282

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes AT6901 (CA)
Physical Therapist 225100000X No AT6901 (CA)

Frequently Asked Questions

NPI 1043386220 is the National Provider Identifier for MISTY BLACK, PTA, a Physical Therapy Assistant provider located in Sebastopol, CA. This NPI was enumerated on November 28, 2006.
MISTY BLACK, PTA practices at 100 PLEASANT HILL AVE N, Sebastopol, CA 95472.

Quick Facts

NPI
1043386220
Type
Individual
Enumerated
Nov 28, 2006
Last Updated
Mar 1, 2022

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