Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Pediatric Development and Therapy LLC

Organization Occupational Therapist · NPI 1588558308

Tidalhealth Pediatric Development and Therapy LLC is an Occupational Therapist in Millsboro, Delaware. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595
Phone: (443) 978-6020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2326 Goddard Pkwy Ste D, Salisbury, MD 21801-1126 — (443) 978-6020

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1588558308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jazmine Hollins — Credentialing Specialist · (704) 799-6824
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address30265 Commerce Dr Unit 204, Millsboro, DE 19966-3595

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