Individual
MS. JESSICA L TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15260 MANCHESTER RD, BALLWIN, MO 63011-4601
(636) 527-3027
(636) 527-4516
Mailing address
4850 LEMAY FERRY RD, SUITE 101, SAINT LOUIS, MO 63129-1576
(314) 416-1707
(314) 416-7184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006006488
MO
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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