Organization
PAUL J. TARDY
Active
Other names
PT the OT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J. TARDY OTR/L (OWNER - OCCUPATIONAL THERAPIST)
(803) 556-3911
Entity
Organization
Contact information
Practice address
105 SERENDIPITY WAY # D, LEXINGTON, SC 29072-6999
(803) 556-3911
(866) 887-4617
Mailing address
105 SERENDIPITY WAY # D, LEXINGTON, SC 29072-6999
(803) 556-3911
(866) 887-4617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099039
ANTHEM
ME
01
—
11513654
CAQH
ME
05
—
266140000
—
ME
01
—
7052332
AETNA
ME
01
—
AA49980
HARVARD
ME
01
—
P00393431
RAILROAD MEDICARE
ME
05
—
TH2387
—
SC
Enumeration date
07/03/2008
Last updated
08/26/2016
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