Individual
MADISYN LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
253 GREEN VIEW RD, MOYOCK, NC 27958-9297
(757) 746-4536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002595
VA
Other
Enumeration date
09/16/2020
Last updated
02/05/2025
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