Individual
TAYLOR M DITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4418 TELEGRAPH RD, OAKVILLE, MO 63129-3316
(314) 894-2222
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(314) 894-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017003393
MO
Other
Enumeration date
02/09/2017
Last updated
09/18/2019
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