Individual
MORGAN HANSEN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
121 N MAIN ST STE B, TAYLOR, AZ 85929
(928) 536-9933
Mailing address
452 N 6TH AVE, HOLBROOK, AZ 86025-2444
(801) 850-7987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31966
AZ
Other
Enumeration date
09/03/2021
Last updated
10/05/2021
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