Individual
STANFORD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 S MAIN ST, SPRINGFIELD, TN 37172-2809
(901) 315-3133
Mailing address
2404 UNDERWOOD ST, NASHVILLE, TN 37208-2335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3434
TN
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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