Individual
MRS. ANNABELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, CFO
Contact information
Practice address
615 RANCHO LN, FLORISSANT, MO 63031-1717
(314) 839-2150
Mailing address
21100 GOLDEN OAKS LN, WARRENTON, MO 63383-6273
(314) 306-5652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116573
MO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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