Individual
ANDREA NELSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
835 E POPLAR AVE, SELMER, TN 38375-1832
(731) 645-3201
Mailing address
59 CENTRAL LN, PARSONS, TN 38363-2014
(731) 847-7240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2320
TN
224Z00000X
Occupational Therapy Assistant
3354
AL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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