Individual
MRS. CONSTANCE JANE TEASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
111 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
(910) 892-0029
Mailing address
111 S RAILROAD AVE, DUNN, NC 28334-4853
(910) 892-0027
(910) 892-0029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5550
NC
225X00000X
Occupational Therapist
Primary
5550
NC
235Z00000X
Speech-Language Pathologist
5550
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211634
—
NC
Enumeration date
10/11/2006
Last updated
07/22/2008
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