Individual
TANIA DERINA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
126 CHERRYWOOD LN, ROMEOVILLE, IL 60446-6209
(630) 689-8507
Mailing address
126 CHERRYWOOD LANE, ROMEOVILLE, IL 60446
(630) 689-8507
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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