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Individual

JANET HUMPHREY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS OTRL

Contact information

Practice address
2075 MAX LUTHER DRIVE, HUNTSVILLE, AL 35810-3859
(256) 852-5600
(256) 852-6722
Mailing address
196 FERNCREST DRIVE, HARVEST, AL 35749-9494
(256) 852-8718

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0286
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51042463
BLUE CROSS BLUE SHIELD
Enumeration date
11/07/2006
Last updated
07/08/2007
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