Individual
ELISABETH K. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4111 PARK PLACE DR, FORT WAYNE, IN 46845-6002
(260) 373-2111
Mailing address
717 UNION ST APT Y3, FORT WAYNE, IN 46802-5962
(502) 409-3344
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31007164A
IN
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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