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Individual

JUSTIN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
8300 FALLS OF NEUSE RD STE 104, RALEIGH, NC 27615-3450
(919) 846-9668
(919) 846-9663
Mailing address
8300 FALLS OF NEUSE RD STE 104, RALEIGH, NC 27615-3450
(919) 846-9668
(919) 846-9663

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21982
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P21982
PT LICENSE
NC
Enumeration date
02/15/2023
Last updated
02/15/2023
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