Individual
TAYLOR NICOLE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1030 SCOTT DR, PRESCOTT, AZ 86301-4737
(928) 778-2450
Mailing address
1908 W ROAD 1 S, CHINO VALLEY, AZ 86323-6244
(928) 830-7340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046657
AZ
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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