Individual
TIFFANY KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 599-1138
Mailing address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 599-1138
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POH000019
PA
224P00000X
Prosthetist
Primary
PO000243
PA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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