Individual
MRS. CYNTHIA DIANE TINCKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5201 CONNER ST, DETROIT, MI 48213-3405
(313) 571-5555
(313) 925-1315
Mailing address
790 SHOREHAM RD, GROSSE POINTE WOODS, MI 48236-2446
(313) 300-0016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000001
MI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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