Individual
TIFFANY DAWN MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 923-5500
Mailing address
1012 MEADOWS REACH CIR, SUFFOLK, VA 23434-8353
(757) 418-0406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23066011893
VA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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