Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIE BREANNE TIDWELL, OTR/L
ActiveMRS. JENNIE BREANNE TIDWELL, OTR/L is a Occupational Therapist healthcare provider located in CARLISLE, Arkansas. NPI 1114159688 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CARLISLE, AR
Registration Details
- NPI Number
- 1114159688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2009 (16.985077153555 yrs)
- Last Updated
- Jan 11, 2013
- License
-
OTR2314 (AR)
Practice Information
- Address
-
821 E PARK STCARLISLE, AR, 720249024Browse AR providers · Browse ZIP 72024
- Phone
- 8705527110
- Fax
- 8705527115
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in CARLISLE, AR
| Name | Credential | NPI |
|---|---|---|
| SHALA D NEAL | OT | 1689920126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.