MRS. Ladonna Gore-Tisdale, OTR/L
NPI #1134777212 in Summerfield, North Carolina
Provider Information
- NPI Number
- 1134777212
- Entity Type
- Individual
- Name
- MRS. Ladonna Gore-Tisdale, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- OTR/L
- Enumeration Date
- Aug 30, 2019
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 6966 TOSCANA TRCE
- City
- Summerfield
- State
- North Carolina
- ZIP Code
- 27358-9563
- Phone
- (336) 508-4924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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