Individual
BRIAN THOMAS TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 998-5688
Mailing address
29 CARDINAL DR, MURPHYSBORO, IL 62966-5256
(618) 317-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70011423
IL
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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