Individual
MR. RANDALL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
420 FALCONER RD, ESCONDIDO, CA 92027-5331
(760) 432-2296
(760) 432-9419
Mailing address
420 FALCONER RD, ESCONDIDO, CA 92027-5331
(760) 432-2296
(760) 432-9419
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6001
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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