Individual
PAMELA SUE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 LAKE TERRACE DR, ELK GROVE, CA 95758-4631
(916) 684-5963
Mailing address
3623 LAKE TERRACE DR, ELK GROVE, CA 95758-4631
(916) 684-5963
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17105
CA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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