Taylor, Gwen Rene
Taylor, Gwen Rene is an sole proprietor health care provider with primary practice located at 803 Huffman St , Fort Wayne IN 46808-3245. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Taylor, Gwen Rene can be contacted via phone (260) 424-3540.Contact Information
Primary practice address
803 Huffman St
Fort Wayne IN 46808-3245
Phone: (260) 424-3540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 32002140A | Indiana |
Profile Details
| NPI number | 1295097848 |
|---|---|
| LBN Legal business name | Taylor, Gwen Rene |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2012 |
| Last updated | Jun 11th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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