MRS. CAROLYN BLACK, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1245461540
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 119902014 (AK) |
Frequently Asked Questions
NPI 1245461540 is the National Provider Identifier for MRS. CAROLYN BLACK, ATC, a Specialist/Technologist - Athletic Trainer provider located in Wasilla, AK. This NPI was enumerated on August 4, 2009.
MRS. CAROLYN BLACK, ATC practices at 1001 E BOGARD RD, Wasilla, AK 99654.
Quick Facts
- NPI
- 1245461540
- Type
- Individual
- Enumerated
- Aug 4, 2009
- Last Updated
- Jul 1, 2014
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