Individual
MRS. TIFFANY J TREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(570) 769-5349
Mailing address
158 SWAN RD, HOLLIDAYSBURG, PA 16648-5202
(814) 937-2454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001503L
PA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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