Individual
MR. BRIAN MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1511 COLLEGE AVE, COLUMBUS, OH 43209
(614) 231-4900
Mailing address
1511 COLLEGE AVE, COLUMBUS, OH 43209
(614) 231-4900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PTA 4432
OH
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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