Individual
JENNIFER LEA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-2200
Mailing address
262 S 184TH EAST AVE, TULSA, OK 74108-2110
(951) 522-6926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
224Z00000X
Occupational Therapy Assistant
Primary
2122
OK
Other
Enumeration date
09/12/2013
Last updated
07/26/2021
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