ANSON P TAYLOR

MERIDIAN, ID
NPI1205170768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  ota 151)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mr. ANSON P TAYLOR COTA/L
1351 W PINE AVE
MERIDIAN, ID 83642-5031
Phone number: 208-888-7049
Mailing Address
Mr. ANSON P TAYLOR COTA/L
2617 S LEADVILLE AVE
BOISE, ID 83706-4735
Phone number: 208-724-0356