Individual
JEFFREY BLAIR TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 PHILADELPHIA AVE, SHILLINGTON, PA 19607-2764
(610) 796-7022
Mailing address
355 LACKAWANNA ST, APT 6-8, READING, PA 19601-1551
(610) 396-1121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003091
PA
Other
Enumeration date
01/19/2013
Last updated
01/30/2013
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