Individual
MRS. VANESSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-4488
Mailing address
629 SPENCER DR, FORT WALTON BEACH, FL 32547-2301
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT13703
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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