Individual
TIFFANY LYNN DEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
908 N REYNOLDS RD, BRYANT, AR 72022-3034
(479) 967-2322
Mailing address
3811 ROBINWOOD CIR, BRYANT, AR 72022-8361
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191892721
—
AR
Enumeration date
06/12/2012
Last updated
06/12/2012
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