NPI 1942741897
Ettelle Taylor
Practice location
- Address
- 4761 Monterey CT, Waldorf, MD 20602-5116
- Phone
- (410) 504-4425
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1942741897
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Mar 2017
- Record last updated
- 12 Mar 2017
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.