Individual
MISS TAHERA SHARONDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2541 PASS RD, F, BILOXI, MS 39531-2106
(228) 388-1002
(228) 388-1006
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2650
MS
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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