Individual
TIFFANY M MCCORISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5836680
—
SD
Enumeration date
02/01/2007
Last updated
09/24/2009
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