Individual
TAYLOR THEORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 VANSTORY ST APT 3E, GREENSBORO, NC 27407-5371
(919) 455-1478
Mailing address
2828 VANSTORY ST APT 3E, GREENSBORO, NC 27407-5371
(919) 455-1478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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