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Individual
TIFFANY DEAN
Active
Individual
TIFFANY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331042299
—
TX
Enumeration date
02/21/2013
Last updated
07/22/2014
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