Individual
KATIE TIFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BERWICK RD, ORANGEVILLE, PA 17859-9064
(570) 683-5036
Mailing address
5 BLUE JAY DR, BLOOMSBURG, PA 17815-7719
(518) 926-8141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014320
PA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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