Individual
REBECCA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
324 BUNKER RD, WILLOWICK, OH 44095-4715
(440) 488-4176
Mailing address
324 BUNKER RD, WILLOWICK, OH 44095-4715
(440) 488-4176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006036
OH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2016
Last updated
10/15/2020
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