Individual
KELLY DANIELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SCOTT ACRES, SCOTT DEPOT, WV 25560-9707
(304) 590-2775
Mailing address
118 SCOTT ACRES, SCOTT DEPOT, WV 25560-9707
(304) 590-2775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1990
WV
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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