Organization
PERRY OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA TARDIFF MS, OTR/L (OCCUPATIONAL THERAPIST)
(843) 813-6203
Entity
Organization
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
03/07/2011
Last updated
08/22/2016
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