Individual
ANDREA L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC, OT-SC
Contact information
Practice address
2 MEDICAL PARK RD STE 404, COLUMBIA, SC 29203-6875
(803) 434-8288
(803) 434-5467
Mailing address
2 MEDICAL PARK RD STE 404, COLUMBIA, SC 29203-6875
(803) 434-8288
(803) 434-5467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1001
SC
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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