Individual
TERESA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 666-0611
Mailing address
930 S LINCOLN ST APT 7, SPOKANE, WA 99204-3856
(303) 386-2266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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