Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ettelle Taylor

Individual provider Occupational Therapy Assistant · NPI 1942741897

Ettelle Taylor is an Occupational Therapy Assistant in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017
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Practice location Address checks out

4761 Monterey Ct
Waldorf, MD 20602-5116
Phone: (410) 504-4425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A000225 (MD)

Record details

NPI number1942741897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2017
Last updated in NPPESMarch 12, 2017

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