Organization
KAREN TAYLOR SOILES PT, LLC
Active
Other names
Collaborative PT, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TAYLOR SOILES PT (OWNER)
(703) 477-9454
Entity
Organization
Contact information
Practice address
515 PROVIDENCE HWY STE LOWER6, DEDHAM, MA 02026-6811
(703) 646-0313
Mailing address
20 DONCASTER ST, BOSTON, MA 02131-4610
(703) 646-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
2305204518
VA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538567557
ORGANIZATIONAL NPI PT PRACTICE
MA
01
—
1891819108
MEDICARE TYPE 1 NPI NUMBER
VA
Enumeration date
12/08/2014
Last updated
01/11/2024
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