Provider Demographics
NPI:1841328903
Name:TAYLOR, ROSARIO MARGARITA LAUREL (OTR)
Entity type:Individual
Prefix:
First Name:ROSARIO MARGARITA
Middle Name:LAUREL
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CHARRY
Other - Middle Name:LAUREL
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:1370 SERRANO CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-4949
Mailing Address - Country:US
Mailing Address - Phone:239-331-4010
Mailing Address - Fax:
Practice Address - Street 1:949 2ND AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5808
Practice Address - Country:US
Practice Address - Phone:239-403-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12671225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics