Individual
TAYLOR STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2639 W STATE ROAD 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
5432 MILLENIA LK BLVD APT 5411, ORLANDO, FL 32839-3459
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20451
FL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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