Provider Demographics
NPI:1336879568
Name:HAUDE, TAYLOR LYNN (DPT)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:LYNN
Last Name:HAUDE
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:87 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-2280
Mailing Address - Country:US
Mailing Address - Phone:585-402-1307
Mailing Address - Fax:
Practice Address - Street 1:4470 REGENCY PL STE 100
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3085
Practice Address - Country:US
Practice Address - Phone:301-934-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic