Individual
CORA G TARDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
5221 PARKSIDE DR, NORTH CHARLESTON, SC 29405-4103
(843) 813-6203
(843) 212-5839
Mailing address
5221 PARKSIDE DR, NORTH CHARLESTON, SC 29405-4103
(843) 813-6203
(843) 212-5839
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3529
SC
Other
Enumeration date
05/18/2009
Last updated
08/22/2016
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