Taylor, John Richard

Taylor, John Richard is an individual health care provider with primary practice located at 2813 Forest Ave , Granite City IL 62040-6025. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Taylor, John Richard can be contacted via phone (618) 670-8584.

Contact Information

Primary practice address
2813 Forest Ave Granite City IL 62040-6025
Phone: (618) 670-8584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2010041285 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160005050 Illinois

Profile Details

NPI number 1386905396
LBN Legal business name Taylor, John Richard
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 13 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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