Individual
MRS. TYHISHA PADEN FASHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10920 COVINGTON BY PASS RD APT 504, COVINGTON, GA 30014-3828
(908) 265-2688
Mailing address
PO BOX 362, COVINGTON, GA 30015-0362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005055
GA
Other
Enumeration date
02/28/2007
Last updated
03/19/2020
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