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NPI Code Detail

MEDICARE: TAYLOR ANN SIMMS

MEDICARE: TAYLOR ANN SIMMS
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 Therapist299685CA

General Provider Information

NPI Number : 1487241303
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ANN SIMMS
Provider Business Mailing Address
First Line : 16458 AVENIDA VENUSTO UNIT C
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-6240
Country : US
Telephone Number : 805-791-8715
Fax Number :
Provider Business Practice Location Address
First Line : 457 N ELM ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3001
Country : US
Telephone Number : 760-489-1969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2020
Last Update Date : 06/13/2023

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Directions to “ TAYLOR ANN SIMMS ” Practice Location

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