Individual
ALICIA M TIFFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(610) 251-5400
Mailing address
803 WEATHERSTONE DR, PAOLI, PA 19301-1937
(610) 644-3898
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OC004131L
PA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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