| NPI | 1821405853 |
|---|---|
| Former Name | LAUREN ELISE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27683) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT0001281) | |
| 225100000X Physical Therapist (Licence: VA 2305213152) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-04-07 |