Individual
TAYLOR SIERRA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1500 GREEN BAY ST, LA CROSSE, WI 54601-6455
(608) 784-8125
Mailing address
809 CARINA LN, MADISON, WI 53718-2900
(608) 575-1733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
694126
WI
Other
Enumeration date
04/05/2021
Last updated
04/16/2021
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