Individual
AMBER DAWN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 WOLF CREEK DR, CRESCENT, OK 73028-9350
(405) 740-1367
Mailing address
11150 WOLF CREEK DR, CRESCENT, OK 73028-9350
(405) 740-1367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
708
OK
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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