Individual
MRS. JESSICA MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTRL
Contact information
Practice address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
(989) 779-9060
Mailing address
1495 W FLECK RD, SIX LAKES, MI 48886-9544
(989) 287-0023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007567
MI
Other
Enumeration date
02/01/2012
Last updated
10/28/2013
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