Individual
COLBY JAMES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
Mailing address
1867 W DAINTY LN, MERIDIAN, ID 83642-6868
(208) 991-8005
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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