Individual
TIFFANY C MCGOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11077 STATE ROAD 3 APT 112, FORT WAYNE, IN 46818-0236
(260) 446-5179
Mailing address
11077 STATE ROAD 3 APT 112, FORT WAYNE, IN 46818-0236
(260) 446-5179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001243A
IN
224Z00000X
Occupational Therapy Assistant
OTA 03454
OH
224Z00000X
Occupational Therapy Assistant
OTA 10375
FL
Other
Enumeration date
04/26/2007
Last updated
04/08/2025
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