CHARLES G BLACK

AQUAFIT PHYSICAL THERAPY, LLC

Dr CHARLES G BLACK is a male medical professional, specializing in Physical Therapy. He graduated in 1995.

Contact

AQUAFIT PHYSICAL THERAPY, LLC

8743 PINEY ORCHARD PKWY
SUITE 105
ODENTON
MD
211132343

Tel: 4106726077

CHARLES G BLACK Information

Npi 1053424234
Pac Id 7517031180
Professional Enrollment Id I20080730000417
Last Name BLACK
First Name CHARLES
Middle Name G
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AQUAFIT PHYSICAL THERAPY, LLC
Group Practice Pac Id 3577603505
Number Of Group Practice Members 3
Line 1 Street Address 8743 PINEY ORCHARD PKWY
Line 2 Street Address SUITE 105
Marker Of Address Line 2 Suppression
City ODENTON
State MD
Zip Code 211132343
Phone Number 4106726077
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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