Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2156 | OK |
NPI | 1083223325 |
---|---|
Provider Name | Dr. Taylor Beth Conaway |
First Address | Oklahoma City, OK 73118-2806 |
Second Address | Enid, OK 73701-5737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2020 |
Last Update Date | 22/07/2020 |