Individual
BRYNLEA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
7904 N GLEN DR, IRVING, TX 75063-7224
(806) 543-1415
Mailing address
7934 N GLEN DR APT 3066, IRVING, TX 75063-7256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
19018658
TX
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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