Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 159 | SC |
NPI | 1114055977 |
---|---|
Provider Name | Teresa S Tinsley |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-4240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 23/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TH2097 | (05) | SC |