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Tisha Radich, COTA/L

NPI 1336976455 · on the registry since 2024 · sole proprietor

Practice

Address: 1530 Broad Ave
Gulfport, MS 39501
Phone: (228) 864-6544
Organisation at this address: Ms Hud Boyington, Llc
Pensacola Health Trust Inc
1530 Broad Avenue Operations, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Additional practice sites

101 E State St, Kennett Square, PA

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi