Individual
TAYLOR LANDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
Mailing address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
110636
IA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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