Provider Demographics
NPI:1780453506
Name:CORE CONFIDENCE PELVIC HEALTH AND WELLNESS
Entity type:Organization
Organization Name:CORE CONFIDENCE PELVIC HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PELVIC FLOOR THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:443-789-4580
Mailing Address - Street 1:1114 MINT TER
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-7247
Mailing Address - Country:US
Mailing Address - Phone:443-789-4580
Mailing Address - Fax:
Practice Address - Street 1:1114 MINT TER
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-7247
Practice Address - Country:US
Practice Address - Phone:443-789-4580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty