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1902277478
LAUREN MARIE TIDMORE
AUSTIN, TX
NPI
1902277478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 112180)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- LAUREN MARIE TIDMORE OTR
11330 FARRAH
AUSTIN, TX 78748-1959
Phone number: 512-280-2030
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Mailing Address
-- LAUREN MARIE TIDMORE OTR
11330 FARRAH
AUSTIN, TX 78748-1959
Phone number:
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