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

Individual provider Developmental Therapist · NPI 1548803646

Tammy Marie Theriault is a Developmental Therapist in Shalimar, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

3 Holly Ave
Shalimar, FL 32579-1105
Phone: (850) 420-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1548803646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESOctober 21, 2019

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