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

TYWANNA SHARDAE BLACKWELL, COTA/L

Active

TYWANNA SHARDAE BLACKWELL, COTA/L is a Occupational Therapy Assistant healthcare provider located in ABBEVILLE, South Carolina. NPI 1639869613 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ABBEVILLE, SC

Registration Details

NPI Number
1639869613
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2023 (3.2201631905487 yrs)
Last Updated
May 11, 2023
License
5347 (SC)

Practice Information

Address
83 THOMSON CIR
ABBEVILLE, SC, 296205652
Browse SC providers · Browse ZIP 29620
Phone
8643665122
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ABBEVILLE, SC

Name Credential NPI
MRS. MARY GRACE DELANEY COTA/L, CLT 1528640158
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.