Taylor Vongphakdy, COTA/L
NPI #1013554963 in Farmington, Arkansas
Provider Information
- NPI Number
- 1013554963
- Entity Type
- Individual
- Name
- Taylor Vongphakdy, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Dec 10, 2019
Practice Location
- Address
- 128 SOUTHWINDS RD STE 7
- City
- Farmington
- State
- Arkansas
- ZIP Code
- 72730-8678
- Phone
- (479) 267-2777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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