Individual
TIFFANY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1119 OWENS STREET NORTH, STILLWATER, MN 55082
(651) 275-8364
Mailing address
1119 OWENS ST N, STILLWATER, MN 55082-4316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103237
MN
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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