Organization
BLACK SWAMP WORKSITE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SMITH PT (OWNER)
(419) 579-0026
Entity
Organization
Contact information
Practice address
11155 STATE ROUTE 64, SWANTON, OH 43558-9517
(419) 579-0026
Mailing address
11155 STATE ROUTE 64, SWANTON, OH 43558-9517
(419) 579-0026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
09/01/2021
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