Whalio Doctors

NPI 1942741897

Ettelle Taylor

Practitioner Occupational Therapy Assistant Waldorf, MD

Practice location

Address
4761 Monterey CT, Waldorf, MD 20602-5116
Phone
(410) 504-4425

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A000225 (MD)

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.