Individual
DR. TAYLOR STUCKLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1500 ADAMS AVE STE 104A, COSTA MESA, CA 92626-3864
(657) 600-8320
Mailing address
619 OCEANHILL DR, HUNTINGTON BEACH, CA 92648-3764
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT295448
CA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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