Individual
TAYLOR KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 ADDISON AVE E, SUITE D, TWIN FALLS, ID 83301
(208) 814-7950
Mailing address
213 13TH AVE W, JEROME, ID 83338-5220
(208) 731-3693
(801) 658-0604
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTL-2904
ID
Other
Enumeration date
07/11/2018
Last updated
01/26/2024
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