Individual
MS. TIFFANY DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1511 MARLANDWOOD RD, TEMPLE, TX 76502-3338
(254) 743-6200
Mailing address
1511 MARLANDWOOD RD, TEMPLE, TX 76502-3338
(254) 743-6200
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2056660
TX
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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