Individual
MS. TAMMY C. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 STATE ST, HILLSIDE, NJ 07205-2320
(763) 607-7004
Mailing address
1298 STATE ST, HILLSIDE, NJ 07205-2320
(763) 607-7004
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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