Individual
DONNA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1300 SANTA CRUZ, LONGVIEW, TX 75601-8631
(318) 614-2359
Mailing address
1300 SANTA CRUZ, LONGVIEW, TX 75601-8631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208213
TX
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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