Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TISHA NICOLE RADICH, COTA/L
Active Sole ProprietorTISHA NICOLE RADICH, COTA/L is a Occupational Therapy Assistant healthcare provider located in GULFPORT, Mississippi. NPI 1336976455 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · GULFPORT, MS
Registration Details
- NPI Number
- 1336976455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2024 (1.8749362801899 yrs)
- Last Updated
- Sep 14, 2024
- License
-
3549 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1530 BROAD AVEGULFPORT, MS, 395013601Browse MS providers · Browse ZIP 39501
- Phone
- 2288646544
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| ALEX MAY | COTA | 1396437158 |
| MS. IVANA MY-KIEU LE | — | 1275337198 |
| ANALEICIA MATTHEWS | — | 1265392211 |
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.