Individual
MRS. TIFFANY S. WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4939 LOWER ROSWELL RD, SUITE 201, MARIETTA, GA 30068-4338
(770) 578-1519
Mailing address
4939 LOWER ROSWELL RD, SUITE 201, MARIETTA, GA 30068-4338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002797
GA
225XP0200X
Pediatric Occupational Therapist
OT002797
GA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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