IndividualActive
Abigail Tidwell, OTD, OTR
NPI 1023798733 · Occupational Therapist · Tupelo, MS
Provider details
- NPI number
- 1023798733
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 4289 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
Fax: (662) 432-1528
Approximate (ZIP-level) locationGet directions
Mailing address
1211 S Gloster St
Tupelo, MS 38801-6546
Additional practice locations (1)
- 1625 E Main St Ste 104El Cajon, CA 92021-5223Phone: (619) 873-2160
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.