Individual
TANISHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1052 CORONADO LN, LYNCHBURG, VA 24502-1720
(434) 473-9052
Mailing address
1052 CORONADO LN, LYNCHBURG, VA 24502-1720
(434) 473-9052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
230660282
VA
Other
Enumeration date
02/13/2023
Last updated
02/14/2023
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