Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT003003 | OH |
N | 225XR0403X | Driving and Community Mobility | OT003003 | OH |
NPI | 1134758006 |
---|---|
Provider Name | Ms. Lynne L Taylor |
First Address | Euclid, OH 44119-1078 |
Second Address | Euclid, OH 44119-1078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2020 |
Last Update Date | 03/04/2020 |