Individual
MS. TIFFANY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6931 W SUNRISE BLVD, PLANTATION, FL 33313-4406
(954) 583-6200
Mailing address
5548 NW 31ST AVE APT 102, FORT LAUDERDALE, FL 33309-2570
(754) 244-4487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12191
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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