Tidwell, Angela Mary

Tidwell, Angela Mary is an individual health care provider with primary practice located at 136 Corporate Park Dr , Mooresville NC 28117-6959. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Tidwell, Angela Mary can be contacted via phone (704) 360-2796.

Contact Information

Primary practice address
136 Corporate Park Dr Mooresville NC 28117-6959
Phone: (704) 360-2796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 8534 North Carolina

Profile Details

NPI number 1063901668
LBN Legal business name Tidwell, Angela Mary
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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