Individual
TASHIKA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 N MANSARD BLVD, GRIFFITH, IN 46319-3502
(708) 238-8444
Mailing address
1819 N MANSARD BLVD, GRIFFITH, IN 46319-3502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224Z00000X
IL
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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