Individual
TAYLOR WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(513) 739-8630
Mailing address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
70459
OH
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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