Provider Demographics
NPI:1255705877
Name:KNOX, TAYLOR A (OTD OTR/L)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:A
Last Name:KNOX
Suffix:
Gender:F
Credentials:OTD OTR/L
Other - Prefix:MRS
Other - First Name:TAYLOR
Other - Middle Name:A
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:461 CANN ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382
Mailing Address - Country:US
Mailing Address - Phone:610-692-6362
Mailing Address - Fax:610-692-0917
Practice Address - Street 1:461 CANN ROAD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382
Practice Address - Country:US
Practice Address - Phone:610-692-6362
Practice Address - Fax:610-692-0917
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014202225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics