Individual
TAYLOR GAZDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 COURT DR, GASTONIA, NC 28054-2151
(704) 865-0077
Mailing address
212 MOCKINGBIRD LN, LINCOLNTON, NC 28092-3259
(704) 472-0852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6761
NC
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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