Tisa Kittrell

NPI 1932316528 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1932316528
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
206 MARYLAND AVE
MCCOMB MS, 39648-3926, US
Phone (601) 250-4815
Fax (601) 250-6859
Business Location
18 SOUTHDOWN RD
SUMRALL MS, 39482-5444, US
Phone (601) 250-4815
Fax (601) 250-6859
Toxanomy
Taxonomy Code 224Z00000X
License State Mississippi
License Number TA1422
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According to our database, Tisa Kittrell NPI is 1932316528, taxonomy code is 224Z00000X and license number is TA1422, license state is located at Mississippi. Tisa Kittrell physically located at 206 Maryland Ave, Mccomb MS, 39648-3926. NPI Number Tisa Kittrell has the Individual type.

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1932316528 NPI number is provided on an as is basis without warranty of any kind. 1932316528 is maintained by the National Plan & Provider Enumeration System. The contents of Tisa Kittrell are for informational purposes only.