Tisa Kittrell
NPI #1932316528 in Mccomb, Mississippi
Provider Information
- NPI Number
- 1932316528
- Entity Type
- Individual
- Name
- Tisa Kittrell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- May 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 206 MARYLAND AVE
- City
- Mccomb
- State
- Mississippi
- ZIP Code
- 39648-3926
- Phone
- (601) 250-4815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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