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Individual

DR. TAYLOR MARY PERMENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(904) 662-4517
Mailing address
240 SPRINGWOOD LN, SAINT JOHNS, FL 32259-4270
(904) 662-4517

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11277779-2401
UT
225100000X
Physical Therapist
PT33684
FL

Other

Enumeration date
06/14/2019
Last updated
06/14/2019
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