Individual
ROBERT TARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFO, CFTS
Contact information
Practice address
350 JAKE ALEXANDER BLVD W, SUITE 102, SALISBURY, NC 28147-1317
(704) 633-4000
(704) 633-4200
Mailing address
350 JAKE ALEXANDER BLVD W, SUITE 102, SALISBURY, NC 28147-1317
(704) 633-4000
(704) 633-4200
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO02450
NC
225000000X
Orthotic Fitter
CFTS1014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795098
—
NC
Enumeration date
07/20/2007
Last updated
11/02/2010
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