Individual
TIFFANY FRANCES DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
167 COUNTRY LN, JEROME, ID 83338-6147
(208) 324-2443
Mailing address
167 COUNTRY LN, JEROME, ID 83338-6147
(208) 324-2443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13489613-4201
UT
225XP0200X
Pediatric Occupational Therapist
2171486
ID
Other
Enumeration date
09/11/2023
Last updated
11/07/2025
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