Individual
PATRICIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2123 FAVOR RD SW APT 8, MARIETTA, GA 30060-4769
(757) 639-1597
Mailing address
2123 FAVOR RD SW APT 8, MARIETTA, GA 30060-4769
(757) 639-1597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009256
GA
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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