Provider Demographics
NPI:1841024429
Name:DOTSON, TAYLER ANN (COTA/L AC)
Entity type:Individual
Prefix:
First Name:TAYLER
Middle Name:ANN
Last Name:DOTSON
Suffix:
Gender:F
Credentials:COTA/L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 PLANTERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-8135
Mailing Address - Country:US
Mailing Address - Phone:702-715-1629
Mailing Address - Fax:
Practice Address - Street 1:1311 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4331
Practice Address - Country:US
Practice Address - Phone:252-237-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15615224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant