Provider Demographics
NPI:1285696989
Name:TAYLOR, CLARICE ELIZABETH (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:CLARICE
Middle Name:ELIZABETH
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:95 DELTA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:PA
Mailing Address - Zip Code:17314-7907
Mailing Address - Country:US
Mailing Address - Phone:443-299-8255
Mailing Address - Fax:
Practice Address - Street 1:206 S HAYS ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3672
Practice Address - Country:US
Practice Address - Phone:410-420-3053
Practice Address - Fax:443-640-4632
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD17901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist