Individual
TAYLOR M GED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1325 SAN MARCO BLVD STE 102, JACKSONVILLE, FL 32207-8549
(904) 858-7045
(904) 858-7047
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
20840
FL
225X00000X
Occupational Therapist
OT20840
FL
225XH1200X
Hand Occupational Therapist
Primary
OT20840
FL
Other
Enumeration date
07/06/2020
Last updated
12/04/2020
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