Basic Information
| Provider Information | |||||||||
| NPI: | 1326638388 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DORRIN | ||||||||
| FirstName: | TAYLOR | ||||||||
| MiddleName: | JOYCE | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 613 CRICKLEWOOD RD | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193828507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4842660387 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 613 CRICKLEWOOD RD | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193828507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4842660387 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2021 | ||||||||
| LastUpdateDate: | 01/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC017259 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.