Individual
MRS. TAYLOR GALE RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3062 KINGSDALE CTR, COLUMBUS, OH 43221-2020
(614) 484-1940
(614) 484-1941
Mailing address
PO BOX 714906, CINCINNATI, OH 45271-4906
(614) 826-9266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.005454RX
LICENSE
OH
Enumeration date
11/02/2017
Last updated
11/06/2023
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