Individual
MR. NATHAN WAYNE TIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
16251 ROYALTON LN, SPRING HILL, FL 34610-3913
(352) 678-7933
Mailing address
PO BOX 11215, SPRING HILL, FL 34610-0215
(352) 678-7933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12029
FL
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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