Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE BLACK, ATC
ActiveSTEPHANIE BLACK, ATC is a Specialist healthcare provider located in COUDERSPORT, Pennsylvania. NPI 1609226281 is currently active in the NPPES registry. Verify at CMS.
Specialist · COUDERSPORT, PA
Registration Details
- NPI Number
- 1609226281
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2016 (10.145097376 yrs)
- Last Updated
- Jun 15, 2016
- License
-
RT005263 (PA)
Practice Information
- Address
-
1001 E 2ND STCOUDERSPORT, PA, 169158161Browse PA providers · Browse ZIP 16915
- Phone
- 8142749300
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in COUDERSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| ALISA CORNELL | — | 1144670720 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.