Individual
TAYLOR J FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2727 N FERRY ST, ANOKA, MN 55303-1650
(763) 506-1000
Mailing address
2727 N FERRY ST, ANOKA, MN 55303-1650
(763) 506-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104825
MN BOARD OF OCCUPATIONAL THERAPY
MN
Enumeration date
01/28/2019
Last updated
05/11/2026
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