Individual
KRISTIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 ASHLAND AVE, FORT WORTH, TX 76107-4260
(817) 454-9332
Mailing address
2216 ASHLAND AVE, FORT WORTH, TX 76107-4260
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
TX
225X00000X
Occupational Therapist
Primary
111111
TX
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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