Individual
JAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24375 JACKSON AVE APT H307, MURRIETA, CA 92562-1959
(951) 240-6306
Mailing address
24375 JACKSON AVE APT H307, MURRIETA, CA 92562-1959
(951) 240-6306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10651
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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