Healthcare Provider Details

I. General information

NPI: 1093697518
Provider Name (Legal Business Name): TAYLOR LEMASTERS OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 GROSS ST
MARIETTA OH
45750-2031
US

IV. Provider business mailing address

158 GROSS ST
MARIETTA OH
45750-2031
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-1422
  • Fax: 740-423-3600
Mailing address:
  • Phone: 740-374-1422
  • Fax: 740-423-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT010480
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: