Individual
TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10204 GRANGER RD, GARFIELD HEIGHTS, OH 44125-3106
(216) 581-2900
Mailing address
23325 WILLIAMS AVE, EUCLID, OH 44123-1524
(216) 409-9564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013481
OH
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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