Individual
TIFFANY ANN RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3157 N UNIVERSITY DR, SUITE 103, PEMBROKE PINES, FL 33024-2258
(954) 442-9422
Mailing address
3157 N UNIVERSITY DR, SUITE 103, PEMBROKE PINES, FL 33024-2258
(954) 442-9422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10042
FL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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