Individual
MRS. TIFFANIE RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 T.R. 114, VAN BUREN, OH 45889
(419) 957-7973
Mailing address
10411 T.R. 114, VAN BUREN, OH 45889
(419) 957-7973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02654
OH
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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