Individual
MS. DIANA REBECCA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19285 DAVID MEMORIAL DR, SHENANDOAH, TX 77385-8778
(936) 321-8300
Mailing address
3503 PALOMAR VALLEY DR, SPRING, TX 77386-2869
(281) 851-2749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044352
PTA LICENSE
TX
Enumeration date
02/12/2014
Last updated
02/12/2014
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