Individual
KELLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 WINONA BLVD, ROCHESTER, NY 14617-3422
(585) 355-0270
Mailing address
560 WINONA BLVD, ROCHESTER, NY 14617-3422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009940
NY
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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