Individual
MRS. GEORGINA SUSAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-4810
Mailing address
12400 S RIDGELAND AVE, PALOS HEIGHTS, PALOS HEIGHTS, IL 60463-1858
(708) 738-8068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000803
IL
225200000X
Physical Therapy Assistant
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Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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