Individual
TAYLOR GRACE FOURACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3874 UPPER KING RD, DOVER, DE 19904-6042
(302) 697-3205
Mailing address
1225 N ASHBROOKE DR, WEST CHESTER, PA 19380-3724
(610) 389-4226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0002083
DE
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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