NPI 1609237585
Jeffrey Taylor, COTA
Practice location
- Address
- 301 W Homer St, Michigan City, IN 46360-4358
- Phone
- (219) 879-8511
- Mailing address
- 8259 Wicker Ave, Saint John, IN 46373-8878
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1609237585
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Mar 2016
- Record last updated
- 18 Mar 2016
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.