Individual
TIFFANY AMBER BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N 8TH ST, NOBLE, OK 73068-9397
(405) 872-7102
Mailing address
1501 N 8TH ST, NOBLE, OK 73068-9397
(405) 872-7102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
968
OK
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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