Individual
KATHLEEN TERRELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7320 SW HUNZIKER,, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Mailing address
4449 TROUT DR SE, SAINT PETERSBURG, FL 33705-4149
(850) 803-8684
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
392855
OR
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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