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Contact Information

MICHELLE M KEANE TAYLOR, COTA/L
1157 ENFIELD STREET
KINDRED HEALTHCARE @ PARKWAY PAVILION
ENFIELD, CT06082
 Phone: 860-745-1641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MICHELLE M KEANE TAYLOR · (Female)

NPI Number 1386048007
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 10/09/2014
Last updated 10/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000568
  • MA License # 2808
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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