Individual
MRS. TYFFANY L. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
14775 W YORKSHIRE DR, SURPRISE, AZ 85374-7224
(623) 377-9698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5864
AZ
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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