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Individual

AMBER RIKIA TILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1227 S MAIN ST, POPLARVILLE, MS 39470-3317
(601) 746-5101
(601) 746-5102
Mailing address
PO BOX 956, POPLARVILLE, MS 39470-0956
(601) 746-5101
(601) 746-5102

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4128
MS

Other

Enumeration date
04/26/2024
Last updated
04/26/2024
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