Individual
TAYLOR KOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4833
Mailing address
2133 KING JAMES DR, GREEN BAY, WI 54304-1830
(920) 634-9665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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