Individual
TAYLOR HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 AVA ST, BURLINGTON, NC 27215-2103
(336) 202-5345
Mailing address
1113 AVA ST, BURLINGTON, NC 27215-2103
(336) 202-5345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6563
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989
—
NC
Enumeration date
11/03/2022
Last updated
11/03/2022
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