| NPI | 1699059246 |
|---|---|
| Other Name | TIFFANY LEANN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004821) |
| 225100000X Physical Therapist (Licence: NE 3051) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-05-23 |