Individual
TAYLOR PANDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 LINCOLN PARK E, CRANFORD, NJ 07016-3125
(908) 276-7100
Mailing address
600 LINCOLN PARK E, CRANFORD, NJ 07016-3125
(908) 276-7100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09178100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHY-1042386101
MERCER
NJ
Enumeration date
05/10/2022
Last updated
05/10/2022
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