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Individual

TAYLOR LYNN GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
196 W PARK AVE APT 4, EL CAJON, CA 92020-3568
(619) 856-1723
Mailing address
196 W PARK AVE APT 4, EL CAJON, CA 92020-3568
(619) 856-1723

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
438951
CA

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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