Organization
SUNHEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA DEE TAYLOR P.T. (PHYSICAL THERAPIST)
(419) 410-2680
Entity
Organization
Contact information
Practice address
1104 WESLEY AVE, BRYAN, OH 43506-2579
(419) 636-5071
Mailing address
6019 COUNTY ROAD 20, ARCHBOLD, OH 43502-9770
(419) 410-2680
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT012260
OH
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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