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Individual

AMY E TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8900 STATE LINE RD, STE 333, LEAWOOD, KS 66206-1941
(913) 626-2868
(913) 754-0365
Mailing address
6036 ROSEWOOD ST, MISSION, KS 66205-3055

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1702107
KS
225X00000X
Occupational Therapist
Primary
2004015596
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1702107
STATE LICENSE
KS
01
2004015596
STATE LICENSE
MO
Enumeration date
10/29/2007
Last updated
08/22/2008
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