Individual
TIFFANY IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 STATE ROUTE 264 APT 174, KEAMS CANYON, AZ 86034-9997
(571) 295-3901
Mailing address
403 STATE ROUTE 264 APT 174, KEAMS CANYON, AZ 86034-9997
(571) 295-3901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009865
AZ
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/03/2020
Last updated
02/06/2025
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