TAYLOR LEE-WAMBOLT

SAINT AUGUSTINE, FL
NPI1700440120
Former NameTAYLOR LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT27189)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-05-01
Last Update Date2026-07-12
Business Address
TAYLOR LEE-WAMBOLT
205 CABEZA ST
SAINT AUGUSTINE, FL 32080-4524
Phone number: 479-372-2995
Mailing Address
TAYLOR LEE-WAMBOLT
205 CABEZA ST
SAINT AUGUSTINE, FL 32080-4524
Phone number: