Teresa Taylor, COTA
Occupational Therapy Assistant in Dalton Gardens, ID. Individual provider (NPI-1).
NPI number1841024296
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1841024296
- Entity type
- Individual (NPI-1)
- Name
- Teresa Taylor
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
6270 N Government WayDalton Gardens, ID 83815-9214
Phone 208-666-0611
Mailing address
930 S Lincoln St Apt 7Spokane, WA 99204-3856
Phone 303-386-2266
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