Nicole Tiderencel, CTRS
Nicole Tiderencel, CTRS is a Recreation Therapist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
Practice location Address checks out
1291 Stanley Rd NWKennesaw, GA 30152-4359
Phone: (770) 427-0147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recreation Therapist (primary) | Taxonomy 225800000X · Licence 48030 (GA) |
|---|
Record details
| NPI number | 1881114841 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CTRS |
| Sole proprietor | No |
| NPI enumerated | June 21, 2017 |
| Last updated in NPPES | June 21, 2017 |
Other providers in Kennesaw
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Ebony Elbert, CTRS
1291 Stanley Rd NW, Kennesaw, GA 30152-4359 · (770) 427-0147
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David Mondecar
1291 Stanley Rd NW, Kennesaw, GA 30152-4359 · (770) 427-0147
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Patrice M Pusha
1291 Stanley Rd NW, Kennesaw, GA 30152-4359 · (770) 427-0147