Taylor Leigh Evans, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Dillon, CO

NPI 1265985105 · NPPES record last updated Apr 23, 2024

Key facts

NPI
1265985105
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT.0006776 (CO)
Practice address
240 E la Bonte St Unit 54
Dillon, CO 80435-5885
Phone
(304) 237-6167
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT.0006776COMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT.0006776 CO Yes

Addresses

Primary practice location

240 E la Bonte St Unit 54
Dillon, CO 80435-5885

Mailing address

PO Box 6300
Dillon, CO 80435-6300
Phone (304) 237-6167

Other providers in Dillon, CO

All providers in Dillon, CO · Pediatric Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.