Stuckly, Taylor

Stuckly, Taylor is an individual health care provider with primary practice located at 1500 Adams Ave Ste 104A , Costa Mesa CA 92626-3864. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Stuckly, Taylor can be contacted via phone (657) 600-8320.

Contact Information

Primary practice address
1500 Adams Ave Ste 104A Costa Mesa CA 92626-3864
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT295448 California

Profile Details

NPI number 1518441468
LBN Legal business name Stuckly, Taylor
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2018
Last updated Sep 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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