Individual
TAYLOR JON MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 PRAIRIE CENTER DR STE 230, EDEN PRAIRIE, MN 55344-7308
(952) 944-5314
Mailing address
18872 YARBOROUGH TRCE, MAPLE GROVE, MN 55311-1156
(763) 516-7889
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
11139
MN
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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