Individual provider · Type 1 NPI

Marquita Natalya Tidwell, COTA/L

Occupational Therapy Assistant · Cordova, TN

NPI number 1083278535 Active

Practice location

36 Bazeberry Rd
Cordova, TN 38018-7754

Call (901) 758-0036 Map

Mailing address

9400 Goodman Rd Apt 2707
Olive Branch, MS 38654-1779

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XTA3570 (MS)
Occupational Therapy Assistant Primary 224Z00000X3154 (TN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1083278535

Marquita Natalya Tidwell, COTA/L's National Provider Identifier is 1083278535, issued on Apr 30, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cordova, TN. The record was last updated on Apr 30, 2019.