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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENAE MCKENZIE TIDWELL

Active

BRENAE MCKENZIE TIDWELL is a Occupational Therapist healthcare provider located in IDABEL, Oklahoma. NPI 1437873056 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · IDABEL, OK

Registration Details

NPI Number
1437873056
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2022 (3.8584179409968 yrs)
Last Updated
Sep 27, 2022
Licenses
123070 (TX)
5689 (OK)

Practice Information

Address
1301 E LINCOLN RD
IDABEL, OK, 747457300
Browse OK providers · Browse ZIP 74745
Phone
5802867623
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in IDABEL, OK

Name Credential NPI
MS. SENDI DEAN RANEY OT 1861795551
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.