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Taylor Carbonetti, PT

Physical Therapist in Geneva, IL. Individual provider (NPI-1).

NPI number1164099149
StatusActive
Last updated in NPPESAug 23, 2023

Details

NPI
1164099149
Entity type
Individual (NPI-1)
Name
Taylor Carbonetti
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 8, 2021
Certification date
Aug 23, 2023
Last updated
Aug 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070026083ILYes

Other names

  • Taylor Donelson (Former Name)

Practice location

2700 Keslinger Rd Ste C
Geneva, IL 60134-4645

Phone 630-262-2633 · Fax 630-262-2643

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258

Phone 914-294-4050 · Fax 631-760-8306

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