| NPI | 1497050934 |
|---|---|
| Former Name | LYNN MARIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22039) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT24688) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2022-07-14 |