Individual
TAYLOR ROBERTSON FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
305 N MAIN ST, WATER VALLEY, MS 38965-2505
(662) 714-4472
(662) 714-4463
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7351
MS
225100000X
Physical Therapist
PTH10989
AL
Other
Enumeration date
09/14/2022
Last updated
10/02/2023
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