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

TINA LYTTLE

Deactivated Sole Proprietor

TINA LYTTLE is a Occupational Therapist healthcare provider located in GRAYSON, Georgia. NPI 1710380464 is deactivated in the NPPES registry. Verify at CMS.

Occupational Therapist · GRAYSON, GA

This NPI has been deactivated. The record was deactivated on October 21, 2014. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1710380464
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2014 (0.035616438356164 yrs)
Last Updated
Nov 14, 2017
Deactivated
Oct 21, 2014
License
004715 (GA)
Sole Proprietor
Yes

Practice Information

Address
1151 GULFPORT RUN
GRAYSON, GA, 300172963
Browse GA providers · Browse ZIP 30017
Phone
7702965177
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in GRAYSON, GA

Name Credential NPI
MS. ERIN NICOLE BOYCE OTR/L 1538788179
STACY HWANG OTR/L 1033844964
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.