Provider Demographics
NPI:1922390434
Name:WAHILA, TAYLOR RUTH (MA)
Entity Type:Individual
Prefix:MR
First Name:TAYLOR
Middle Name:RUTH
Last Name:WAHILA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1409 NW 6TH ST
Mailing Address - Street 2:STE. 120
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-2234
Mailing Address - Country:US
Mailing Address - Phone:352-373-4411
Mailing Address - Fax:352-373-4455
Practice Address - Street 1:1409 NW 6TH ST
Practice Address - Street 2:STE. 120
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-2234
Practice Address - Country:US
Practice Address - Phone:352-373-4411
Practice Address - Fax:352-373-4455
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist