Provider Demographics
NPI:1508541061
Name:TAYLOR, VERONICA LYNN (COTA/L)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:LYNN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MARGERIE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4646
Mailing Address - Country:US
Mailing Address - Phone:951-691-9276
Mailing Address - Fax:
Practice Address - Street 1:7 MARGERIE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4646
Practice Address - Country:US
Practice Address - Phone:951-691-9276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010992224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant