MEDICARE: MRS. ALISON JENNIFER TAYLOR OTR/L,CHT,CKTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	002056	GA
2	225XH1200X	Hand Occupational Therapist	112012	TX

General Provider Information

NPI Number	:	1316944366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISON JENNIFER TAYLOR OTR/L,CHT,CKTI

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	630-296-2223
Fax Number	:	630-759-9510

Provider Business Practice Location Address
First Line	:	4100 FAIRWAY DR
Second Line	:	STE 400
City	:	CARROLLTON
State	:	TX
Zip	:	75010-6525
Country	:	US
Telephone Number	:	972-394-3325
Fax Number	:	972-394-3326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	11/04/2016

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