Organization
FULL POTENTIAL OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVINA IRENE TAYLOR OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(360) 836-2557
Entity
Organization
Contact information
Practice address
410 E 20TH ST, VANCOUVER, WA 98663-3316
(360) 836-2557
(360) 831-0108
Mailing address
PO BOX 61713, 410 E 20TH ST, VANCOUVER, WA 98666-1713
(360) 836-2557
(360) 831-0108
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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