Organization
NEUROTRAIN REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L. TAYLOR MS, OTR/L (OWNER)
(305) 283-5986
Entity
Organization
Contact information
Practice address
5233 SHASTA WAY, MARIETTA, GA 30062-6545
(305) 283-5986
Mailing address
5233 SHASTA WAY, MARIETTA, GA 30062-6545
(305) 283-5986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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