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Individual
TIFFANY TU
Active
Individual
TIFFANY TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225X00000X
Occupational Therapist
Primary
19422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19422
OT LICENSE NUMBER
CA
Enumeration date
08/06/2013
Last updated
11/27/2023
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