Lisa Ann Taylor PTA

NPI 1134385321 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1134385321
Gender Female
Enumeration Date 08/06/2008
Last Updated 08/07/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
225 MEMORIAL DR
BERLIN WI, 54923-1243, US
Phone (920) 361-5534
Fax
Business Location
225 MEMORIAL DR
BERLIN WI, 54923-1243, US
Phone (920) 361-5534
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 370-019
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According to our database, Mrs. Lisa Ann Taylor PTA NPI is 1134385321, taxonomy code is 225200000X and license number is 370-019, license state is located at Wisconsin. Lisa Ann Taylor PTA physically located at 225 Memorial Dr, Berlin WI, 54923-1243. NPI Number Lisa Ann Taylor PTA has the Individual type.

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1134385321 NPI number is provided on an as is basis without warranty of any kind. 1134385321 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Taylor PTA are for informational purposes only.