Individual
TAYLOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
674 OLLIE AVE, CLANTON, AL 35045-2246
(205) 280-1100
(205) 280-1575
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2515
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7904
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GOUP NPI
AL
05
—
529917620
—
AL
Enumeration date
04/07/2016
Last updated
04/07/2016
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