Tidwell, Marquita Natalya

Tidwell, Marquita Natalya is an individual health care provider with primary practice located at 36 Bazeberry Rd , Cordova TN 38018-7754. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Tidwell, Marquita Natalya can be contacted via phone (901) 758-0036.

Contact Information

Primary practice address
36 Bazeberry Rd Cordova TN 38018-7754
Phone: (901) 758-0036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X TA3570 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 3154 Tennessee

Profile Details

NPI number 1083278535
LBN Legal business name Tidwell, Marquita Natalya
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Apr 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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