Healthcare Provider Details

I. General information

NPI: 1811158991
Provider Name (Legal Business Name): LOREN DAY TAYLOR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NORTH WATER ST.
MOBILE AL
36602
US

IV. Provider business mailing address

PO BOX 1108
MOBILE AL
36633-1108
US

V. Phone/Fax

Practice location:
  • Phone: 251-431-5818
  • Fax: 251-431-5810
Mailing address:
  • Phone: 251-431-5818
  • Fax: 251-431-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number2922
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2922
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: