Individual
TAYLOR BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 ELMWOOD RD, BALTIMORE, MD 21206-2118
(443) 939-7573
Mailing address
607 ELMWOOD RD, BALTIMORE, MD 21206-2118
(443) 939-7573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001212
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/03/2017
Last updated
01/13/2022
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