Individual
PAMELA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 643-9790
Mailing address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 643-9790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006364
IL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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