Individual
MR. THOMAS ANDREW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
636 CAMPBELL AVE, WEST HAVEN, CT 06516-4408
(203) 934-6690
(203) 934-6659
Mailing address
15 BARNETT ST, NEW HAVEN, CT 06515-2022
(203) 980-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006297
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006297
PHYSICAL THERAPY LICENSE
CT
Enumeration date
12/14/2006
Last updated
07/08/2007
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