Individual
MRS. JENNIFER J TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
3301 W BROADWAY BUSINESS PARK CT STE F, COLUMBIA, MO 65203-0106
(573) 447-0422
(573) 447-0434
Mailing address
3301 W BROADWAY BUSINESS PARK CT STE F, COLUMBIA, MO 65203-0106
(573) 447-0422
(573) 447-0434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003022304
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
01/10/2014
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