Organization
BLACK STAR PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA TAYLOR PT (OWNER)
(716) 523-8116
Entity
Organization
Contact information
Practice address
6403 WOODSIDE CT, VAN BUREN TOWNSHIP, MI 48111-5142
(716) 523-8116
Mailing address
6403 WOODSIDE CT, VAN BUREN TOWNSHIP, MI 48111-5142
(716) 523-8116
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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