Individual
MR. JIMMY TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14216 N BEL AIR DR SW, CUMBERLAND, MD 21502-5805
(301) 729-8135
Mailing address
14216 N BEL AIR DR SW, CUMBERLAND, MD 21502-5805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T00293
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7855802385
NONE
MD
Enumeration date
11/04/2013
Last updated
11/04/2013
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