Individual
TAYLOR DANIELLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
748 E PARK AVE, LIBERTYVILLE, IL 60048-2907
(815) 409-0623
Mailing address
19071 W LAKE VIEW AVE, MUNDELEIN, IL 60060-3518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
299336
CA
2251S0007X
Sports Physical Therapist
Primary
070.025829
IL
2251S0007X
Sports Physical Therapist
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Other
Enumeration date
03/01/2021
Last updated
08/04/2022
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