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Individual

TAYLOR MICHELLE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4334 LATHAM ST STE 110, RIVERSIDE, CA 92501-1748
(909) 519-8912
Mailing address
12100 MONTECITO RD UNIT 101, LOS ALAMITOS, CA 90720-5819

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52511
CA

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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