Individual
TAYLOR NICOLE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 CM FAGAN DRIVE, HAMMOND, LA 70403
(985) 543-3850
Mailing address
44008 W PLEASANT RIDGE RD, HAMMOND, LA 70403-0204
(985) 507-1568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10273
LA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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