Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 05012494A | IN |
NPI | 1023536299 |
---|---|
Provider Name | Mrs. Taylor Shotwell Seward |
First Address | Evansville, IN 47714-2121 |
Second Address | Evansville, IN 47710-1658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2017 |
Last Update Date | 07/09/2017 |