Most Relevant Information
Provider Data
| NPI Number: | 1003214883 |
| Provider Name: | PAMELA TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056.006364 |
Most Important Dates
| Enumeration Date: | 12/10/2014 |
| Last Updated: | 12/10/2014 |
Provider Practice Location
1373 DADRIAN PROFESSIONAL PARK
GODFREY
IL
620351767
Practice Location Phone/Fax
| Phone: | 6186439790 |
| Fax: |
Provider Mailing Location
1373 DADRIAN PROFESSIONAL PARK
GODFREY
IL
620351767
Provider Mailing Phone/Fax
| Phone: | 6186439790 |
| Fax: |