Individual
TAYLOR ALEXIS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1401 S RIDGE AVE, KANNAPOLIS, NC 28083-6056
(980) 242-0690
(980) 236-9380
Mailing address
PO BOX 248, KANNAPOLIS, NC 28082-0248
(980) 242-0690
(980) 236-9380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16621
NC
Other
Enumeration date
04/09/2024
Last updated
11/04/2025
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