Brenae Mckenzie Tidwell

NPI #1437873056 in Idabel, Oklahoma

Provider Information

NPI Number
1437873056
Entity Type
Individual
Name
Brenae Mckenzie Tidwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Sep 27, 2022
Last Updated
Sep 27, 2022

Practice Location

Address
1301 E LINCOLN RD
City
Idabel
ZIP Code
74745-7300
Phone
(580) 286-7623

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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