Individual
TAYLOR VARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10001 LAKE FOREST BLVD STE 102, NEW ORLEANS, LA 70127-6204
(504) 281-4521
Mailing address
242 HESPER AVE, METAIRIE, LA 70005-3761
(504) 606-6436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10666
LA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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