Individual
TIFFANY BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 MEDI PARK, 65, AMARILLO, TX 79106
(806) 468-7611
(806) 468-7603
Mailing address
2001 WESTLINE, WILDARADO, TX 79098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208981
TX
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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