Individual
CANDACE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9013 EAST 138TH ST S, BIXBY, OK 74008
(918) 557-3784
Mailing address
9013 E 138TH ST S, BIXBY, OK 74008
(918) 557-3784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4859
OK
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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