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Individual
TIFFANY LESESNE MARIN
Active
Individual
TIFFANY LESESNE MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018774-1
NY
2251P0200X
Pediatric Physical Therapist
018774-1
NY
Other
Enumeration date
11/17/2008
Last updated
04/08/2020
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