Taylor Combo Valid NPI
Individual provider · Occupational Therapist · Eagle, ID
- NPI
- 1811502172
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225X00000X
- License number
- 2238 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-09-14
- Last updated
- 2020-09-14
Practice location
449 S Fitness Pl
Eagle, ID 83616-6828
(208) 957-6301