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CARRIE TAYLOR PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205243805

Individual Registrant:
 CARRIE  TAYLOR PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
31170 GOVERNMENT DR  PEQUOT LAKES, MN 56472-1001 US
Tel: 218-568-5666  Fax: --

Contact information for business:
PO BOX 331  PEQUOT LAKES, MN 56472-0331 US
Tel: --  Fax: --

Registration Information:
NPI: 1205243805
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MN6406

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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