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Individual

TAMRA KAY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1628 W BEARDSLEY AVE, ELKHART, IN 46514-1881
(574) 293-9420
(574) 295-8141
Mailing address
PO BOX 65, MIDDLEBURY, IN 46540-0065
(574) 293-9420
(574) 295-8141

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002601A
IN

Other

Enumeration date
08/19/2006
Last updated
08/09/2007
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