TAYLOR SMITH TIDWELL

EUREKA, CA
NPI1457992539
Former NameTAYLOR LEIGH SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  20197)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AL  4892)
225X00000X Occupational Therapist
(Licence: KS  17-03531)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
Mrs. TAYLOR SMITH TIDWELL OTR
2885 HARRIS ST
EUREKA, CA 95503-4808
Phone number: 707-443-1627
Mailing Address
Mrs. TAYLOR SMITH TIDWELL OTR
1300 OWENS RD
AUBURN, AL 36830-2521
Phone number: