Individual
TAYLOR MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9241 UNIVERSITY BLVD STE A, NORTH CHARLESTON, SC 29406-9349
(843) 764-4887
(843) 764-4509
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/21/2023
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