Individual
JACOB TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1919 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2901
(850) 381-0606
Mailing address
225 W TOM COSTINE RD, LAKELAND, FL 33809-5293
(850) 381-0606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
FL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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