Individual
KIMBERLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5230
Mailing address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003512
IL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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