TAYLOR BLACK

PORTLAND, ME
NPI1992474753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT6035)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
TAYLOR BLACK DPT, C.S.C.S.
1145 BRIGHTON AVE
PORTLAND, ME 04102-1025
Phone number: 207-541-6500
Mailing Address
TAYLOR BLACK DPT, C.S.C.S.
49 TECHNOLOGY DR UNIT 51
BEDFORD, NH 03110-6970
Phone number: 760-695-2899
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