Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LADONNA GORE-TISDALE, OTR/L
Active Sole ProprietorMRS. LADONNA GORE-TISDALE, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SUMMERFIELD, North Carolina. NPI 1134777212 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SUMMERFIELD, NC
Registration Details
- NPI Number
- 1134777212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2019 (6.9605218930204 yrs)
- Last Updated
- Aug 30, 2019
- License
-
2969 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6966 TOSCANA TRCESUMMERFIELD, NC, 273589563Browse NC providers · Browse ZIP 27358
- Phone
- 3365084924
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.