Individual
MS. TIFFANY ANNE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
34800 BOB WILSON DR, PHYSICAL THERAPY DEPARTMENT, SAN DIEGO, CA 92134-1098
(619) 532-7100
Mailing address
4516 SURITA ST, SACRAMENTO, CA 95864-3112
(858) 733-2296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/05/2011
Last updated
02/05/2011
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