Individual
MS. ALICIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3800 ELI PL, NEWBURGH, IN 47630-7436
(812) 858-5300
Mailing address
3800 ELI PL, NEWBURGH, IN 47630-7436
(812) 858-5300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002640A
IN
Other
Enumeration date
06/19/2014
Last updated
11/17/2014
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