MR. John Richard Taylor III, PTA

NPI #1386905396 in Granite City, Illinois

Provider Information

NPI Number: 1386905396
Entity Type: Individual
Name: MR. John Richard Taylor III, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 2813 FOREST AVE
City: Granite City
State: Illinois
ZIP Code: 62040-6025
Phone: (618) 670-8584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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