Lee-Wambolt, Taylor

Lee-Wambolt, Taylor is an individual health care provider with primary practice located at 205 Cabeza St , Saint Augustine FL 32080-4524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Lee-Wambolt, Taylor can be contacted via phone (479) 372-2995.

Contact Information

Primary practice address
205 Cabeza St Saint Augustine FL 32080-4524
Phone: (479) 372-2995
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT27189 Florida

Profile Details

NPI number 1700440120
LBN Legal business name Lee-Wambolt, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Jul 12th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700440120 NPPES
Florida MEDICAID S

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