Organization
JUST 4 KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE TIFFANY MS, OTR/L (OCCUPATIONAL THERAPIST)
(570) 423-9440
Entity
Organization
Contact information
Practice address
1766 ELMIRA ST # 166, SAYRE, PA 18840-9250
(570) 423-9440
Mailing address
1766 ELMIRA ST # 166, SAYRE, PA 18840-9250
(570) 423-9440
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC011615
PA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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