| NPI | 1285170688 |
|---|---|
| Former Name | TAYLOR CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025781) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 13499PT) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2023-08-15 |