Individual
TAYLOR CLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20996 REDWOOD RD, CASTRO VALLEY, CA 94546-5918
(510) 537-0272
Mailing address
5303 9TH AVENUE DR W, BRADENTON, FL 34209-4205
(941) 527-9331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52447
CA
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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