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Individual

MRS. TIFFANY R STOOTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
9302 N MERIDIAN ST STE 190, INDIANAPOLIS, IN 46260-1818
(317) 843-1270
Mailing address
9302 N MERIDIAN ST STE 190, INDIANAPOLIS, IN 46260-1818
(317) 843-1270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104876
MN
225X00000X
Occupational Therapist
3725
TN
225XH1200X
Hand Occupational Therapist
173085
KY
225XH1200X
Hand Occupational Therapist
2021023097
MO
225XH1200X
Hand Occupational Therapist
Primary
31008674A
IN
225XP0019X
Physical Rehabilitation Occupational Therapist
3309
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104876
LICENSE
MN
01
173085
LICENSE
KY
01
2021023097
LICENSE
MO
01
31008674A
LICENSE
IN
Enumeration date
06/06/2007
Last updated
01/23/2026
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