Individual
MS. AUDREY RENAE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 125, SIMS, IL 62886-9748
(618) 237-5743
Mailing address
RR 1 BOX 125, SIMS, IL 62886-9748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005379
IL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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