Individual
TAYLOR NICOLE TARDIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WIHBEY DR, WOLCOTT, CT 06716-1226
(860) 384-2442
Mailing address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2156
CT
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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