Individual
DIANA TAYLOR
Active
Individual
DIANA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002489
DE
225100000X
Physical Therapist
Primary
PT-20449
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102466580-0001
—
PA
01
—
1326372996
DPCI
DE
01
—
2140245
PA BLUE SHIELD
PA
01
—
299173
UNISON
—
01
—
30080473
KEYSTONE MERCY
PA
01
—
3746089000
IBC
DE
Enumeration date
09/29/2009
Last updated
02/02/2011
Update your record
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