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Individual

MARY B TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8811 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1228
(864) 574-7282
Mailing address
310 TALL OAKS TRL, INMAN, SC 29349-8565
(803) 685-0106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7900
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7900
LICENSE
SC
Enumeration date
09/09/2015
Last updated
01/31/2019
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