Individual
TAYLOR L EUBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
Mailing address
3361 FOREST RIDGE RD, ROANOKE, VA 24018-5083
(540) 556-6928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009056
VA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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