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NPI Code Detail

MEDICARE: PAULA TAYLOR PTA

MEDICARE: PAULA TAYLOR PTA
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 Assistant09466OR
2225200000XPhysical Therapy Assistant47929CA

General Provider Information

NPI Number : 1922523851
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA TAYLOR PTA
Provider Business Mailing Address
First Line : 24092 OLD COUNTRY RD
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92557-4001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 637 E ROMIE LN
Second Line :
City : SALINAS
State : CA
Zip : 93901-4205
Country : US
Telephone Number : 951-505-0528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ PAULA TAYLOR PTA” Practice Location

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