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Individual

TAYLOR GROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 255-5504
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 255-5504

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105822
MN
225X00000X
Occupational Therapist
6565
MN

Other

Enumeration date
09/05/2018
Last updated
10/06/2020
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