Individual
TAYLOR CIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHOT, OTR/L
Contact information
Practice address
1640 ASHLEY HALL RD, CHARLESTON, SC 29407-3824
(843) 277-2411
Mailing address
650 ENTERPRISE BLVD APT 10102, CHARLESTON, SC 29492-8554
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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