Individual
TAYLOR MICHAEL SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15 MCCABE DR STE 101, RENO, NV 89511-4815
(775) 788-5599
Mailing address
15 MCCABE DR STE 101, RENO, NV 89511-4815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4863
NV
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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