Individual
KELLIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15324 STONEY SPRING RD, EDMOND, OK 73013-1319
(405) 812-3991
Mailing address
15324 STONEY SPRING RD, EDMOND, OK 73013-1319
(405) 812-3991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
558
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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