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Individual

MRS. WANDA TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPTA

Contact information

Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 861-2441
(866) 391-9831
Mailing address
4365 ROSWELL DR, MARTINEZ, GA 30907-4504
(706) 832-2101

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA000471
GA

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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