Individual
TIFFANY SHAKEEMA ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7045 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1306
(352) 596-8371
Mailing address
10519 PENELOPE PL UNIT 104, NEW PORT RICHEY, FL 34654-1744
(850) 276-1836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14674
FL
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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