Individual
TANEY MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1 OAK ST APT 3, GLOUCESTER, MA 01930-2811
(978) 282-1442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3982
MA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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