| NPI | 1821421629 |
|---|---|
| Former Name | LAUREN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026925) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14349) |
| 225100000X Physical Therapist (Licence: NY 041609) | |
| 225100000X Physical Therapist (Licence: VA 2305206945) | |
| 225100000X Physical Therapist (Licence: SC 7098) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2020-10-14 |