Individual
TAYLOR ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-3400
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1766
ND
Other
Enumeration date
03/17/2020
Last updated
07/20/2020
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