Individual
TAYLOR M MACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 NORWOOD DR, SAINT CHARLES, MO 63303-3318
(636) 866-1341
Mailing address
7055 MEXICO RD UNIT 1601, SAINT PETERS, MO 63376-2344
(636) 866-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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