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Individual

MACY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2121 W SHELVIN ROCK RD, NIXA, MO 65714-6110
(417) 827-3470
Mailing address
2121 W SHELVIN ROCK RD, NIXA, MO 65714-6110
(417) 827-3470

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19842
FL

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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