Individual
MRS. TAMMY LOUISE TAYLOR-WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10281 S WILDWOOD CT, BROOKSTON, IN 47923-8357
(765) 563-3001
Mailing address
10281 S WILDWOOD CT, BROOKSTON, IN 47923-8357
(765) 563-3001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06000870A
IN
Other
Enumeration date
04/13/2012
Last updated
08/22/2019
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