Individual
TIFFANY RENEE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5069 OTTERBEIN WAY, MONCLOVA, OH 43542-8500
(419) 878-0550
Mailing address
312 N MAIN ST, SWANTON, OH 43558-1036
(410) 699-6196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007706
OH
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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