Individual
ABIGAIL TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
1211 S GLOSTER ST STE C, TUPELO, MS 38801-6548
(662) 432-1523
(662) 432-1528
Mailing address
1211 S GLOSTER ST, TUPELO, MS 38801-6546
(662) 432-1523
(662) 432-1528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10356
CA
225X00000X
Occupational Therapist
Primary
4289
MS
Other
Enumeration date
07/19/2023
Last updated
01/09/2026
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