Individual
LOREN DAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
305 NORTH WATER ST., MOBILE, AL 36602
(251) 431-5818
(251) 431-5810
Mailing address
PO BOX 1108, MOBILE, AL 36633-1108
(251) 431-5818
(251) 431-5810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2922
AL
225X00000X
Occupational Therapist
Primary
2922
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051101977
BCBS NEW AIRPORT ADDRESS
AL
01
—
2922
OCCUPATIONAL THERAPY LICENSE
AL
01
—
510I670024
MEDICARE
AL
01
—
L223
MEDICARE GRP
AL
Enumeration date
06/20/2008
Last updated
10/01/2014
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