Individual
DANA TINDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7792 COFFEE RD, BOSTON, GA 31626-3945
(229) 224-4176
Mailing address
7792 COFFEE RD, BOSTON, GA 31626-3945
(229) 224-2294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003411
GA
Other
Enumeration date
09/02/2020
Last updated
09/28/2020
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