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Individual
TAYLOR L DANTICO
Active
Individual
TAYLOR L DANTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043647
NY
225100000X
Physical Therapist
40QA01805000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D04857327357926
DL
NJ
Enumeration date
02/26/2019
Last updated
02/08/2024
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