Healthcare Provider Details

I. General information

NPI: 1649066499
Provider Name (Legal Business Name): TAYLOR MCLAUGHLIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 4TH ST STE F
BERKELEY CA
94710-2430
US

IV. Provider business mailing address

6645 EXETER DR
OAKLAND CA
94611-1642
US

V. Phone/Fax

Practice location:
  • Phone: 510-323-2575
  • Fax:
Mailing address:
  • Phone: 714-331-8324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number27677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: