Individual
TAYLOR THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14813 WEDGEWOOD DR, TAMPA, FL 33613-1528
(813) 760-9406
Mailing address
14813 WEDGEWOOD DR, TAMPA, FL 33613-1528
(813) 760-9406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDER
—
Enumeration date
08/15/2014
Last updated
08/15/2014
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