Individual
HEATHER TINKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 KILSON DR STE 104, MOORESVILLE, NC 28117-8218
(980) 217-0985
Mailing address
7214 GROVEVIEW CT, CHARLOTTE, NC 28269-1284
(978) 514-0776
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0119006996
VA
225XP0200X
Pediatric Occupational Therapist
Primary
13257
NC
Other
Enumeration date
03/31/2015
Last updated
11/30/2021
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