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NPI Code Detail

MEDICARE: DR. JONATHAN PAUL TAYLOR JR. DPT

MEDICARE: DR. JONATHAN PAUL TAYLOR JR. DPT
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
1225100000XPhysical Therapist5250NH

General Provider Information

NPI Number : 1083489520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN PAUL TAYLOR JR. DPT
Provider Business Mailing Address
First Line : 50 1/2 GILMAN ST
Second Line :
City : NASHUA
State : NH
Zip : 03060-3721
Country : US
Telephone Number : 603-661-1207
Fax Number :
Provider Business Practice Location Address
First Line : 159 N BROADWAY
Second Line :
City : SALEM
State : NH
Zip : 03079-2136
Country : US
Telephone Number : 603-617-3782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2023
Last Update Date : 11/15/2023

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