Individual
MRS. MACI MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2359 BROADWAY ST, PEKIN, IL 61554-3902
(309) 353-4767
Mailing address
1515 S LEE AVE, MORTON, IL 61550-3130
(309) 339-7166
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070026841
IL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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