Individual
TAYLOR JAY REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
6275 S LAKE CHARLES DR, HUNTINGBURG, IN 47542-9353
(812) 639-7957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005782A
IN
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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