DEBRA TIDMORE

GREENVILLE, SC
NPI1568853976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  3401)
Enumeration Date2015-02-07
Last Update Date2015-02-07
Business Address
-- DEBRA TIDMORE
30 SPRINGCREST CT
GREENVILLE, SC 29607-4034
Phone number: 864-528-5547
Mailing Address
-- DEBRA TIDMORE
121 BALDWIN CREEK WAY
SIMPSONVILLE, SC 29680-7412
Phone number:
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