Individual
JESSICA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 FRONT ST, HEMPSTEAD, NY 11550-4600
(516) 424-8850
Mailing address
80 W SUNRISE HWY, VALLEY STREAM, NY 11581-1102
(516) 424-8850
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01105101
NY
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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