Individual
TIFFANY BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11405 HALLSTROM DR NW, GIG HARBOR, WA 98332-9603
(253) 320-0975
Mailing address
11405 HALLSTROM DR NW, GIG HARBOR, WA 98332-9603
(253) 320-0975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60013257
WA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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