Provider Demographics
NPI:1245910868
Name:ZAHN, TAYLOR MARIE (OTR/L, CNS)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MARIE
Last Name:ZAHN
Suffix:
Gender:F
Credentials:OTR/L, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S SAINT BERNARD DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-2408
Mailing Address - Country:US
Mailing Address - Phone:920-228-0330
Mailing Address - Fax:
Practice Address - Street 1:631 HAZEL ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4600
Practice Address - Country:US
Practice Address - Phone:773-825-3336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI815626225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist