Mrs Ladonna Gore-tisdale, OTR/L - Occupational Therapist in Summerfield, NC

Mrs Ladonna Gore-tisdale, OTR/L is a Occupational Therapist - Pediatrics based in Summerfield, North Carolina. Mrs Ladonna Gore-tisdale is licensed to practice in North Carolina (license number 2969) and her current practice location is 6966 Toscana Trce, Summerfield, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 508-4924.

NPI number for Mrs Ladonna Gore-tisdale is 1134777212 and her current mailing address is 6966 Toscana Trce, Summerfield, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134777212.

Contact Information

Mrs Ladonna Gore-tisdale, OTR/L
6966 Toscana Trce,
Summerfield, NC 27358-9563
(336) 508-4924
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Ladonna Gore-tisdale
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location6966 Toscana Trce, Summerfield, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134777212
  • Provider Enumeration Date: 08/30/2019
  • Last Update Date: 08/30/2019

Medical Identifiers

Medical identifiers for Mrs Ladonna Gore-tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134777212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 2969 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ladonna Gore-tisdale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ladonna Gore-tisdale, OTR/L
6966 Toscana Trce,
Summerfield, NC 27358-9563

Ph: (336) 508-4924
Mrs Ladonna Gore-tisdale, OTR/L
6966 Toscana Trce,
Summerfield, NC 27358-9563

Ph: (336) 508-4924

Reviews and Comments


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