Individual
TIFFANY BROOKE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 OLD 98 RD, VALLIANT, OK 74764-5256
(580) 212-2353
Mailing address
439 TRENTON RD, MUSKOGEE, OK 74403-8637
(580) 298-7959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5585
OK
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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