Healthcare Provider Details

I. General information

NPI: 1326976622
Provider Name (Legal Business Name): TAYLOR D'URSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

148 PORTER RD
GREENVILLE PA
16125-9263
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-9001
  • Fax:
Mailing address:
  • Phone: 724-815-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021408
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: