Individual
TIFFANY MICHAUX NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3896 N ELM ST, GREENSBORO, NC 27455-2596
(336) 288-0618
(336) 288-0619
Mailing address
3896 N ELM ST, GREENSBORO, NC 27455-2596
(336) 288-0618
(336) 288-0619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2675
NC
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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