Doctor Name: | MS. CARLA TAYLOR |
NPI Number: | 1184925604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 3304 |
Business Practice Address: | 1001 Kamokila Blvd Ste. 114 Kapolei, HI - 967072014 |
Business Phone Number: | 8086749595 |
Business Fax Number: | 8086749696 |
Mailing Address: | 1001 Kamokila Blvd, Ste. 114 KAPOLEI |
State: | HI |
Postal Code: | 967072014 |
Phone Number: | 8086749595 |
Fax Number: | 8086749696 |
NPI Enumeration Date: | 11/15/2010 |
NPI Last Update Date: | 11/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |