Individual
ANDREW LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12409
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2013
Last updated
04/23/2014
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