Individual
MARY GRACE TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
550 BAILEY RD STE 401, LUMBERTON, NC 28358-2424
(910) 674-4363
Mailing address
711 PIPER FARM RD APT 19, FAYETTEVILLE, NC 28303-6603
(336) 520-4707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16369
NC
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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