Individual
MRS. JESSICA LYNNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
5233 SHASTA WAY, MARIETTA, GA 30062-6545
(305) 283-5986
Mailing address
5233 SHASTA WAY, MARIETTA, GA 30062-6545
(305) 283-5986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006996
GA
225X00000X
Occupational Therapist
OT15573
FL
Other
Enumeration date
03/29/2013
Last updated
05/14/2020
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