Individual
TIFFANY BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 LINDSEY LN, B, KINGSLAND, GA 31548-6850
(912) 510-6104
(912) 882-6134
Mailing address
100 LINDSEY LN, B, KINGSLAND, GA 31548-6850
(912) 510-6104
(912) 882-6134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003805
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606878709E
—
GA
Enumeration date
07/04/2005
Last updated
02/27/2008
About Stedi
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