Individual
TAYLER JADE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 CHAPA ST, COLUMBUS, IN 47203-4638
(812) 657-0752
Mailing address
7964 S GARRITY RD, SEYMOUR, IN 47274-8203
(812) 216-3474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005861A
IN
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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