Most Relevant Information
Provider Data
| NPI Number: | 1003309303 |
| Provider Name: | JESSICA Z TAYLOR PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA000178 |
Most Important Dates
| Enumeration Date: | 06/11/2018 |
| Last Updated: | 12/27/2023 |
Provider Practice Location
102 IRVING ST NW
WASHINGTON
DC
20010
Practice Location Phone/Fax
| Phone: | 2028771016 |
| Fax: |
Provider Mailing Location
2001 LIMESTONE RD
WILMINGTON
DE
198085505
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |