Shelly Rae Taylor
Occupational Therapist - Gerontology
10441 State Route 125
W Portsmouth
, Ohio 45663-8911
Shelly Rae Taylor
Occupational Therapist - Gerontology
10441 State Route 125
W Portsmouth
, Ohio 45663-8911
(855) 232-8604
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Shelly Rae Taylor
- 10441 State Route 125
- W Portsmouth, OH
- Zip : 45663-8911
- Fax : (855) 232-8604
- Phone : (740) 877-5718
Second Address
- Shelly Rae Taylor
- 10441 State Route 125
- W Portsmouth, OH
- Zip : 45663-8911
- Fax : (855) 232-8604
- Phone : (740) 877-5718
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT006789 | OH |
National Provider Identifier
| NPI | 1114293792 |
|---|---|
| Provider Name | Shelly Rae Taylor |
| First Address | W Portsmouth, OH 45663-8911 |
| Second Address | W Portsmouth, OH 45663-8911 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2012 |
| Last Update Date | 05/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.