Individual
CARRIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31170 GOVERNMENT DR, PEQUOT LAKES, MN 56472-1001
(218) 568-5666
Mailing address
PO BOX 331, PEQUOT LAKES, MN 56472-0331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6406
MN
Other
Enumeration date
07/15/2014
Last updated
07/30/2014
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