Individual
TAYLOR BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(757) 496-1688
Mailing address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001270
VA
225X00000X
Occupational Therapist
Primary
0119009243
VA
Other
Enumeration date
02/20/2017
Last updated
06/14/2023
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