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Individual
TAYLOR R IRWIN
Active
Individual
TAYLOR R IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12864
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12864
PT LICENSE
MN
Enumeration date
08/25/2022
Last updated
05/29/2026
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