MARQUITA NATALYA TIDWELL

CORDOVA, TN
NPI1083278535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  3154)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: MS  TA3570)
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
MARQUITA NATALYA TIDWELL COTA/L
36 BAZEBERRY RD
CORDOVA, TN 38018-7754
Phone number: 901-758-0036
Mailing Address
MARQUITA NATALYA TIDWELL COTA/L
9400 GOODMAN RD APT 2707
OLIVE BRANCH, MS 38654-1779
Phone number: 662-688-3139