Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 552 | CA |
NPI | 1033393186 |
---|---|
Provider Name | Ms. Leah P Taylor |
First Address | San Diego, CA 92106-6146 |
Second Address | San Diego, CA 92106-6146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2007 |
Last Update Date | 18/02/2014 |