Individual
JANET DENISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3711 HARVEST TREE CV, SOUTHAVEN, MS 38672-8010
(901) 258-2620
Mailing address
3711 HARVEST TREE CV, SOUTHAVEN, MS 38672-8010
(901) 258-2620
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTA5114
TN
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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