ANGELA MARY TIDWELL OT NPI 1063901668

NPI Information

NPI: 1063901668
Provider Name: ANGELA MARY TIDWELL, OT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
136 CORPORATE PARK DR
MOORESVILLE, NC
ZIP 28117
Phone: (704) 360-2796
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Angela Mary Tidwell, OT is a hand occupational therapist in Mooresville, NC. Angela Mary Tidwell, OT NPI is 1063901668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

136 CORPORATE PARK DR
MOORESVILLE, NC
ZIP 28117-959
Phone: (704) 360-2796

The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	8534	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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