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Individual
JOHNATHAN TAYLOR CANDELARIA
Active
Individual
JOHNATHAN TAYLOR CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT027956
PA
225100000X
Physical Therapist
Primary
14279379-2401
UT
Other
Enumeration date
08/28/2019
Last updated
09/18/2026
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