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Individual

TIMA R. DEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8300
Mailing address
3158 SE ACCESS RD, MOUNT VERNON, TX 75457-6914
(930) 305-5969

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102286
TX
225X00000X
Occupational Therapist
Primary
6055
SC

Other

Enumeration date
12/03/2014
Last updated
05/03/2021
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