Individual
TIFFANY SIMS DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
130 MAIN ST, CLERMONT, GA 30527
(678) 616-3099
(770) 406-6840
Mailing address
2741 QUILLIANS DR, GAINESVILLE, GA 30506-2885
(678) 616-3099
(770) 406-6840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006940
GA
Other
Enumeration date
01/26/2018
Last updated
05/24/2024
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