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Nicole Tiderencel, CTRS
Recreation Therapist in Kennesaw, Georgia
NPI 1881114841

Nicole Tiderencel is a Recreation Therapist based in Kennesaw, GA. Nicole Tiderencel practices in Kennesaw, GA and has the professional credentials of CTRS. The NPI Number for Nicole Tiderencel is 1881114841 and holds a License No. 48030 (Georgia).

The current practice location address for Nicole Tiderencel is 1291 Stanley Rd Nw, Kennesaw, GA and can be reached out via phone at 770-427-0147. You can also correspond with Nicole Tiderencel through the mailing address at 1291 STANLEY RD NW, KENNESAW, GA - 30152-4359 (mailing address contact number: 770-427-0147).

Location: 1291 Stanley Rd Nw, Kennesaw, GA, 30152-4359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881114841
Provider Name
Nicole Tiderencel
Credential
CTRS
Provider Entity Type
Individual
Gender
Female
Address
1291 Stanley Rd Nw, Kennesaw, GA, 30152-4359
Phone Number
770-427-0147
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1291 Stanley Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-4359
Phone Number
770-427-0147
Fax Number
person
Provider Business Mailing Address Details
Address
1291 Stanley Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-4359
Phone Number
770-427-0147
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
48030 (Georgia)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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