Individual
MS. TIFFANY BRIEANNE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 459-5676
Mailing address
302 CLYDESDALE DR, STEPHENS CITY, VA 22655-4825
(570) 772-4412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000589
VA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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