Individual
JAG P TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 653-7058
Mailing address
13401 DUMAS RD APT A304, MILL CREEK, WA 98012-5502
(425) 387-2448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003252
WA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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