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Angela Mary Tidwell

Occupational Therapist - Hand

136 Corporate Park Dr
Mooresville , North Carolina 28117-6959

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Angela Mary Tidwell

Occupational Therapist - Hand

136 Corporate Park Dr
Mooresville , North Carolina 28117-6959

(407) 766-8747

Write a Review Save Call

Angela Mary Tidwell

Occupational Therapist - Hand

136 Corporate Park Dr
Mooresville , North Carolina 28117-6959

(407) 766-8747 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Occupational Therapist - Hand

Languages spoken

  • English

Location

136 Corporate Park Dr Mooresville , North Carolina 28117-6959

First Address

  • Angela Mary Tidwell
  • 116 Stamford Ct
  • Mooresville, NC
  • Zip : 28117-7042
  • Phone : (407) 766-8747

Second Address

  • Angela Mary Tidwell
  • 136 Corporate Park Dr
  • Mooresville, NC
  • Zip : 28117-6959
  • Phone : (704) 360-2796

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FAQs


Where did Angela Mary Tidwell attend graduate school?

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Where did Angela Mary Tidwell do her residency?

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Where did Angela Mary Tidwell do her fellowship?

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Is Angela Mary Tidwell board certified?

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What type of doctor is Angela Mary Tidwell

Occupational Therapist - Hand

In what state does Angela Mary Tidwell practice in?

North Carolina

Where is Angela Mary Tidwell ’s practice located?

136 Corporate Park Dr , Mooresville, North Carolina, 28117-6959

What is Angela Mary Tidwell ’s gender?

Female

Is Angela Mary Tidwell a sole practitioner?

No

Is Angela Mary Tidwell accepting new patients?

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What languages does Angela Mary Tidwell speak?

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Does Angela Mary Tidwell accept insurance?

Yes, Angela Mary Tidwell accepts insurance

Does Angela Mary Tidwell offers telemedicine?

Angela Mary Tidwell has not indicated if she offers telemedicine

What is Angela Mary Tidwell ’s professional license number?

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What is Angela Mary Tidwell ’s NPI number?

1063901668

Does Angela Mary Tidwell have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225XH1200X Occupational Therapist - Hand 8534 NC

National Provider Identifier

NPI 1063901668
Provider Name Angela Mary Tidwell
First Address Mooresville, NC 28117-7042
Second Address Mooresville, NC 28117-6959
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 09/05/2018
Last Update Date 09/05/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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