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Individual

TAYLOR TANTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Mailing address
1109 W 77TH TER, KANSAS CITY, MO 64114-1659
(913) 982-6167

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/05/2021
Last updated
06/23/2025
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