Provider Demographics
NPI:1871797266
Name:TAYLOR, GEORGE CHRISTOPHER (PT)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:CHRISTOPHER
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CARR AVE
Mailing Address - Street 2:
Mailing Address - City:AROMAS
Mailing Address - State:CA
Mailing Address - Zip Code:95004-9661
Mailing Address - Country:US
Mailing Address - Phone:408-206-2860
Mailing Address - Fax:
Practice Address - Street 1:505 CARR AVE
Practice Address - Street 2:
Practice Address - City:AROMAS
Practice Address - State:CA
Practice Address - Zip Code:95004-9661
Practice Address - Country:US
Practice Address - Phone:408-206-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist