| NPI | 1578688065 |
|---|---|
| Former Name | DONANDREA MARIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3011) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |