Individual
TIFFANY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1557 TERRELL MILL RD SE APT 4700G, MARIETTA, GA 30067-3087
(678) 651-6050
Mailing address
1557 TERRELL MILL RD SE APT 4700G, MARIETTA, GA 30067-3087
(678) 651-6050
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
08/09/2022
Last updated
08/23/2022
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