Most Relevant Information
Provider Data
| NPI Number: | 1003396169 |
| Provider Name: | WANDA G TAYLOR OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 101606 |
Most Important Dates
| Enumeration Date: | 08/17/2018 |
| Last Updated: | 08/17/2018 |
Provider Practice Location
87 INTERSTATE 10 N STE 225
BEAUMONT
TX
777072549
Practice Location Phone/Fax
| Phone: | 4098350228 |
| Fax: | 4098350151 |
Provider Mailing Location
87 INTERSTATE 10 N STE 225
BEAUMONT
TX
777072549
Provider Mailing Phone/Fax
| Phone: | 4098350228 |
| Fax: | 4098350151 |