Healthcare Provider Details

I. General information

NPI: 1730883018
Provider Name (Legal Business Name): TAYLOR A HURST OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 HOWELLS FERRY RD
MOBILE AL
36618-3162
US

IV. Provider business mailing address

6750 HOWELLS FERRY RD
MOBILE AL
36618-3162
US

V. Phone/Fax

Practice location:
  • Phone: 251-460-0301
  • Fax:
Mailing address:
  • Phone: 251-460-0301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6078
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: