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Individual

TIFFANY CARLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14201 N SANTA FE AVE STE 110, EDMOND, OK 73013-2489
(817) 917-4875
Mailing address
1009 DRIVER LN, EDMOND, OK 73025-1823

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5936
OK

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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