TAYLOR HUSOM

PORT WASHINGTON, WI
NPI1629693676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15007)
Enumeration Date2020-06-15
Last Update Date2020-06-15
Business Address
TAYLOR HUSOM
1300 W LINCOLN AVE
PORT WASHINGTON, WI 53074-2098
Phone number: 479-201-6098
Mailing Address
TAYLOR HUSOM
1300 W LINCOLN AVE
PORT WASHINGTON, WI 53074-2098
Phone number:
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