Individual
TAYLOR RAE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
315 6TH ST S, ONEONTA, AL 35121-1828
(404) 735-7454
(205) 274-2245
Mailing address
315 6TH ST S, ONEONTA, AL 35121-1828
(205) 274-2244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708
OCCUPATIONAL THERAPY LICENSE
AL
01
—
OT007787
PROFESSIONAL LICENSE
GA
Enumeration date
07/14/2020
Last updated
09/20/2022
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