Individual
MS. TIFFANY ACQUAFREDDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 SCENIC RD SW, PALM BAY, FL 32908-7618
(321) 302-8254
Mailing address
501 SCENIC RD SW, PALM BAY, FL 32908-7618
(321) 302-8254
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11495
FL
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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