Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA TILSTRA
ActiveGerontology Occupational Therapist · LANCASTER, SC
Registration Details
- NPI Number
- 1073174231
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2019 (6.817129646727 yrs)
- Last Updated
- Jun 27, 2019
- License
-
5577 (SC)
Practice Information
- Address
-
3064 BRIDGEWATER STLANCASTER, SC, 297200249Browse SC providers · Browse ZIP 29720
- Phone
- 8455420128
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.