Individual
MISS TAYLOR PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
2237 APPLETREE LN, DECATUR, IL 62521-3901
(217) 299-6931
Mailing address
2237 APPLETREE LN, DECATUR, IL 62521-3901
(217) 299-6931
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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