Provider Demographics
NPI:1700035078
Name:BRITTON TAYLOR
Entity Type:Organization
Organization Name:BRITTON TAYLOR
Other - Org Name:NORTH EAST OHIO PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-637-3326
Mailing Address - Street 1:208 SOUTHWIND DR NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1086
Mailing Address - Country:US
Mailing Address - Phone:330-637-3326
Mailing Address - Fax:330-637-2606
Practice Address - Street 1:208 SOUTHWIND DR NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1086
Practice Address - Country:US
Practice Address - Phone:330-637-3326
Practice Address - Fax:330-637-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty