Individual
TIFFANY RAE TINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 N DIXIE HWY STE 116, BOCA RATON, FL 33432-1807
(844) 397-5011
Mailing address
1048 SW 21ST AVE, BOCA RATON, FL 33486-8523
(518) 421-4619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
359826
FL
225000000X
Orthotic Fitter
—
FL
225XG0600X
Gerontology Occupational Therapist
—
FL
225XM0800X
Mental Health Occupational Therapist
—
FL
225XP0200X
Pediatric Occupational Therapist
—
FL
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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