Individual
MS. AMY MARIE NICKSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
211 NW 5TH ST, GUYMON, OK 73942-4203
(580) 338-7489
Mailing address
615 W PINE ST, LIBERAL, KS 67901-3926
(785) 447-2301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01448
KS
224Z00000X
Occupational Therapy Assistant
Primary
1932
OK
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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