Individual
KELLEY JEAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
265 MAIN ST, DALTON, MA 01226-1614
(413) 684-3212
Mailing address
678 LANESBORO RD, CHESHIRE, MA 01225-9705
(413) 743-0934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3428
MA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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