Individual
DR. TAYLOR DOUGLAS BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
901 N SANTA FE AVE, FOUNTAIN, CO 80817-1738
(956) 746-6444
Mailing address
901 N SANTA FE AVE, FOUNTAIN, CO 80817-1738
(956) 746-6444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
122013
TX
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0007810
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122013
ECPTOTE LICENSE NUMBER
TX
01
—
OT.0007810
COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS & OCCUPATIONS
CO
Enumeration date
10/26/2021
Last updated
07/06/2023
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