Individual
TAYLOR RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 272ND PL NW, STANWOOD, WA 98292-7449
(360) 629-2126
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160477491
WA
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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