Individual
TANGENIQUE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2786 N DECATUR RD STE 230, DECATUR, GA 30033-5928
(404) 289-4270
Mailing address
3961 FLOYD ROAD STE 300, 225, AUSTELL, GA 30106-0341
(770) 530-9012
(770) 234-4243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005635
GA
Other
Enumeration date
03/24/2014
Last updated
10/09/2019
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