Individual
ANYA TILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1086 MAIN ST, YANCEYVILLE, NC 27379
(336) 694-5916
(336) 694-7475
Mailing address
1086 MAIN ST, YANCEYVILLE, NC 27379-8789
(336) 694-5916
(336) 694-7475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10826
NC
Other
Enumeration date
02/11/2017
Last updated
09/04/2019
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