Individual
SHELBY LEANNA TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
813 OLD ASH CT, WAKE FOREST, NC 27587-2957
(919) 906-8347
Mailing address
1001 HILLSBOROUGH ST APT 204, RALEIGH, NC 27603-1556
(919) 906-8347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12857
NC
Other
Enumeration date
06/23/2020
Last updated
02/23/2023
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