Individual
MICHAELA BARKER TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6255
(910) 679-8387
Mailing address
475 PHEASANT CT, WILMINGTON, NC 28403-2863
(252) 402-2859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18048
NC
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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