Individual
MRS. AMANDA ANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5603 ARVIS DR, LOUISVILLE, KY 40216-1307
(502) 648-7394
Mailing address
2108 CARABINER WAY, LOUISVILLE, KY 40245-5468
(502) 648-7394
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201164090
KY
Other
Enumeration date
11/11/2014
Last updated
09/01/2020
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