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Individual
TIFFANY A BISHOP
Active
Individual
TIFFANY A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA30406
PROFESSIONAL LICENSE
FL
Enumeration date
10/05/2020
Last updated
10/05/2020
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