IndividualActive
Angela Tidwell, OT
NPI 1063901668 · Hand Occupational Therapist · Mooresville, NC
Provider details
- NPI number
- 1063901668
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 8534 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
136 Corporate Park Dr
Mooresville, NC 28117-6959
Phone: (704) 360-2796
Approximate (ZIP-level) locationGet directions
Mailing address
116 Stamford Ct
Mooresville, NC 28117-7042
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.