Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 026531-1 | NY |
N | 225100000X | Physical Therapist | P10439 | NC |
Y | 2251X0800X | Physical Therapist - Orthopedic | 5501013500 | MI |
NPI | 1033325451 |
---|---|
Provider Name | Natasha Angtuokuu Taylor |
First Address | Canton, MI 48187-5097 |
Second Address | Canton, MI 48187-5097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 30/10/2018 |