Individual
ELIZABETH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Mailing address
361 BRICKELL ST SE, PALM BAY, FL 32909-4330
(321) 557-2165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15772
FL
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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