Provider Demographics
NPI:1023801339
Name:ROMERO, TAYLOR (OTR)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ROMERO
Suffix:
Gender:X
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 WINDSOR LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-9378
Mailing Address - Country:US
Mailing Address - Phone:317-657-7722
Mailing Address - Fax:317-657-7722
Practice Address - Street 1:1912 WINDSOR LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-9378
Practice Address - Country:US
Practice Address - Phone:317-657-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics