Provider Demographics
NPI:1114057759
Name:TRINGALI, HEIDI N (OT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:N
Last Name:TRINGALI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13818 KINGS CARRIAGE LANE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278
Mailing Address - Country:US
Mailing Address - Phone:704-577-4094
Mailing Address - Fax:704-583-2300
Practice Address - Street 1:13818 KINGS CARRIAGE LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278
Practice Address - Country:US
Practice Address - Phone:704-577-4094
Practice Address - Fax:704-583-2300
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC346635Medicare Oscar/Certification