Individual
TAYLOR SHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
41 NEWPORT AVE, CHRISTIANA, PA 17509-1305
(610) 593-6901
(610) 593-0243
Mailing address
41 NEWPORT AVE, CHRISTIANA, PA 17509-1305
(610) 593-6901
(610) 593-0243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001524
DE
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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