Taylor Nicole Lusk, OTR/L
NPI #1417621319 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1417621319
- Entity Type
- Individual
- Name
- Taylor Nicole Lusk, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Aug 4, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 1436 CENTRAL AVE E
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-9602
- Phone
- (601) 928-1889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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