Healthcare Provider Details

I. General information

NPI: 1396415899
Provider Name (Legal Business Name): TAYLOR SZEKACS COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 JUNGERMANN RD
SAINT PETERS MO
63376-5350
US

IV. Provider business mailing address

1128 JACKSON ST
SAINT CHARLES MO
63301-2608
US

V. Phone/Fax

Practice location:
  • Phone: 636-928-5327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2024031518
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: