Individual
TIFFANY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19189 OH 136, WINCHESTER, OH 45697
(937) 695-0839
Mailing address
1721 CHRISTOPHER RD, ABERDEEN, OH 45101-9652
(606) 782-7727
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
A4504
KY
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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