Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2432 | AR |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2819 | MS |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4353 | TN |
NPI | 1124316914 |
---|---|
Provider Name | Tyrice Cartwright |
First Address | Olive Branch, MS 38654-6982 |
Second Address | Olive Branch, MS 38654-6982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2011 |
Last Update Date | 15/04/2015 |