Individual
MISS TIFFANI MAE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2211 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3309
(661) 872-2121
(661) 872-3850
Mailing address
2211 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3309
(661) 872-2121
(661) 872-3850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8739
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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