Individual
TAMARA POLIDORE-LECONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-1045
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(352) 674-0035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 16224
FL
Other
Enumeration date
04/21/2014
Last updated
11/14/2025
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