Individual
STEPHANIE MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ALGOMA BLVD, KOLF SPORTS CENTER, OSHKOSH, WI 54901-3551
(920) 424-7142
Mailing address
800 ALGOMA BLVD, KOLF SPORTS CENTER, OSHKOSH, WI 54901-3551
(920) 424-7142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1170-39
WI
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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