Provider Demographics
NPI:1043887037
Name:TAYLOR, VERONICA MARIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:MARIE
Other - Last Name:ATEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:238 E 11TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1533
Mailing Address - Country:US
Mailing Address - Phone:610-451-9550
Mailing Address - Fax:
Practice Address - Street 1:825 OLD LANCASTER RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3231
Practice Address - Country:US
Practice Address - Phone:610-672-1163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist