Tidwell, Taylor Smith

Tidwell, Taylor Smith is an individual health care provider with primary practice located at 2885 Harris St , Eureka CA 95503-4808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tidwell, Taylor Smith can be contacted via phone (707) 443-1627.

Contact Information

Primary practice address
2885 Harris St Eureka CA 95503-4808
Phone: (707) 443-1627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4892 Alabama
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 17-03531 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 20197 California

Profile Details

NPI number 1457992539
LBN Legal business name Tidwell, Taylor Smith
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers