Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1598061038 |
---|---|
Provider Name | Sharon Taylor-Johnson |
First Address | Baltimore, MD 21218-2108 |
Second Address | Baltimore, MD 21218-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2011 |
Last Update Date | 01/02/2011 |