Individual
MATTIE TAYLOR TALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5550 OLD JACKSONVILLE HWY, TYLER, TX 75703-3347
(903) 561-4307
Mailing address
5550 OLD JACKSONVILLE HWY, TYLER, TX 75703-3347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215580
TX
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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