Individual provider · Type 1 NPI

Tisha Nicole Radich, COTA/L

Occupational Therapy Assistant · Gulfport, MS

NPI number 1336976455 Active

Practice location

1530 Broad Ave
Gulfport, MS 39501-3601

Call (228) 864-6544 Map

Mailing address

3715 Washington Ave
Gulfport, MS 39507-3123

Other practice locations

  • 101 E State St, Kennett Square, PA 19348-3109 · (610) 925-2086

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X3549 (MS)

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…

15 other providers at this address

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About NPI 1336976455

Tisha Nicole Radich, COTA/L's National Provider Identifier is 1336976455, issued on Sep 14, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Gulfport, MS. The record was last updated on Sep 14, 2024.