Individual
MRS. TRACEY MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
6 KALLESTON DR, PITTSFORD, NY 14534-2920
(585) 760-4457
Mailing address
6 KALLESTON DR, PITTSFORD, NY 14534-2920
(585) 760-4457
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012934-1
NY
Other
Enumeration date
10/25/2008
Last updated
10/25/2008
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