Individual
KELLY BAKER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9455 LORTON MARKET ST, SUITE 201, LORTON, VA 22079-1962
(703) 647-3120
(703) 339-6352
Mailing address
9455 LORTON MARKET ST, SUITE 201, LORTON, VA 22079-1962
(703) 647-3120
(703) 339-6352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208936
VA
225100000X
Physical Therapist
PT60378525
WA
Other
Enumeration date
09/17/2013
Last updated
09/19/2014
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