Black Swamp Worksite Therapy, LLC

NPI #1942978523 in Swanton, Ohio

Provider Information

NPI Number: 1942978523
Entity Type: Organization
Organization Name: Black Swamp Worksite Therapy, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Aug 31, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 11155 STATE ROUTE 64
City: Swanton
State: Ohio
ZIP Code: 43558-9517
Phone: (419) 579-0026

Authorized Official

Name: CHRISTINA SMITH, PT
Title: OWNER
Phone: (419) 579-0026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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