| NPI | 1306622030 |
|---|---|
| Doing Business As | BLACK STONE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSH LEDER Administrator 801-641-5613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |