NPI 1205170768

Anson P Taylor, COTAL

Practitioner Occupational Therapy Assistant Meridian, ID

Practice location

Address: 1351 W Pine Ave, Meridian, ID 83642-5031
Phone: (208) 888-7049
Mailing address: 2617 S Leadville Ave, Boise, ID 83706-4735

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA 151 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1205170768
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.