Taylor Combo

NPI #1811502172 in Eagle, Idaho

Provider Information

NPI Number: 1811502172
Entity Type: Individual
Name: Taylor Combo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 449 S FITNESS PL
City: Eagle
State: Idaho
ZIP Code: 83616-6828
Phone: (208) 957-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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