Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1533 | WV |
NPI | 1033235320 |
---|---|
Provider Name | Mrs. Carla Beth Taylor |
First Address | Saint Albans, WV 25177-2711 |
Second Address | Saint Albans, WV 25177-2711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |