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General NPI Number Information
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NPI Number | 1932818671
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Entity Type | Individual
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Provider Name | TAYLOR WILHELM DPT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 156 NW CALIFORNIA BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2492
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Country | US
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Telephone | 728-717-1707
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Fax | 772-871-9330
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Provider Business Mailing Address
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Address Line | 800 TREASURE CAY DR APT 104
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City | FORT PIERCE
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State | FL
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Zip | 34947-5359
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Country | US
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Telephone | 321-277-2028
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT39708
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License Number State | FL
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