Individual
TIMOTHY SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
781 AVENT FERRY RD STE 110, HOLLY SPRINGS, NC 27540-7776
(919) 781-4060
(919) 781-5246
Mailing address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-4060
(919) 863-6821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16338
NC
225X00000X
Occupational Therapist
17795
CA
Other
Enumeration date
01/08/2018
Last updated
10/10/2023
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