Individual
MRS. TIARA SOARES VAN GINDERDEUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
275 BEATY RD, BELMONT, NC 28012-2603
(704) 822-2550
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4645
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7310
NC
Other
Enumeration date
09/24/2009
Last updated
09/02/2020
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