Individual
LASHELLE RENEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2601 18TH ST NE, WASHINGTON, DC 20018-1301
(202) 715-7601
Mailing address
2601 18TH STREET NE, WASHINGTON, DC 20018
(202) 986-4649
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000083
DC
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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