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Taylor Tidwell, OTR
NPI 1457992539 · on the registry since 2019
Practice
- Address
- 2885 Harris St
Eureka, CA 95503 - Phone
- (707) 443-1627
- Organisation at this address
- Granada Rehabilitation & Wellness Center, Lp
Granada Healthcare & Rehabilitation Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
225X00000X - Licence states on file
- AL, KS, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California