Individual
BRIAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2305 RANCOCAS RD, BURLINGTON, NJ 08016-4113
(609) 747-8619
Mailing address
210 W CRYSTAL LAKE AVE, APT. 111D, HADDONFIELD, NJ 08033-3100
(609) 670-6568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00388200
NJ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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