Individual
DOMINIQUE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
16750 WESTGROVE DR STE 300, ADDISON, TX 75001-5604
(972) 434-9400
Mailing address
PO BOX 836684, RICHARDSON, TX 75083-6684
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213999
TX
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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