Individual
TAELOR MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4402
(480) 508-5252
Mailing address
1901 W MADISON ST APT 655, PHOENIX, AZ 85009-9518
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-007852
AZ
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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