Individual
MS. ERIN MICHELE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 BRIDGEVIEW BLVD, TWIN FALLS, ID 83301
(208) 736-3933
Mailing address
234 RANCH VIEW DR, JEROME, ID 83338
(208) 404-4380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT649
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159750
BLUE SHIELD
ID
Enumeration date
04/12/2007
Last updated
07/08/2007
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