Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT644 | OK |
N | 2251H1200X | Hand | PT644 | OK |
NPI | 1548295090 |
---|---|
Provider Name | Ms. Patricia A Taylor |
First Address | Edmond, OK 73034 |
Second Address | Edmond, OK 73013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |