MEDICARE: ELIZABETH TARKANY OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	SC 321	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881640324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TARKANY OTR/L

Provider Business Mailing Address
First Line	:	2011 MANDERLEY CT
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-6712
Country	:	US
Telephone Number	:	843-556-1035
Fax Number	:	843-556-5568

Provider Business Practice Location Address
First Line	:	2011 MANDERLEY CT
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-6712
Country	:	US
Telephone Number	:	843-556-1035
Fax Number	:	843-556-5568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	04/03/2019

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