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Individual
TAYLOR ELYSE GANTZ
Active
Individual
TAYLOR ELYSE GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-008809
IL
225XP0200X
Pediatric Occupational Therapist
056.008809
IL
Other
Enumeration date
09/22/2009
Last updated
04/30/2025
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