-- SHAWN BLACK -- PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1639386030- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 2628 LEGACY RDG, FLORENCE, KY, 410428403
- Phone
- (859) 512-7826
Specialties & Taxonomies
Physical Therapist
Primary License: KY #003292