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NPI Code Detail

MEDICARE: TAYLOR A WOOD

MEDICARE: TAYLOR A WOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant5502005817MI
2225200000XPhysical Therapy Assistant2145107TX

General Provider Information

NPI Number : 1043772353
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR A WOOD
Provider Business Mailing Address
First Line : 6615 LINCK RD
Second Line :
City : BROWN CITY
State : MI
Zip : 48416-9672
Country : US
Telephone Number : 810-728-8380
Fax Number :
Provider Business Practice Location Address
First Line : 6615 LINCK RD
Second Line :
City : BROWN CITY
State : MI
Zip : 48416-9672
Country : US
Telephone Number : 810-728-8380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 04/04/2019

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Directions to “ TAYLOR A WOOD ” Practice Location

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