Provider Demographics
NPI:1427716869
Name:TALLAHASSEE OCCUPATIONAL THERAPY & ADAPTIVE LIVING SOLUTIONS
Entity type:Organization
Organization Name:TALLAHASSEE OCCUPATIONAL THERAPY & ADAPTIVE LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-510-8788
Mailing Address - Street 1:2354 CHRISTOPHER PL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4109
Mailing Address - Country:US
Mailing Address - Phone:850-510-8788
Mailing Address - Fax:850-668-8047
Practice Address - Street 1:2354 CHRISTOPHER PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4109
Practice Address - Country:US
Practice Address - Phone:850-510-8788
Practice Address - Fax:850-668-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty