Individual
MRS. MARI-MARGARET CELESTE TYDINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
118 JACOBS CIR, SITKA, AK 99835-9573
(907) 738-0923
Mailing address
209 MOLLER, SITKA, AK 99835
(907) 747-1771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PHYO1574
AK
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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