Individual
TIFFANY A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-8914
Mailing address
85 ALTON D RIVENBARK RD, HAMPSTEAD, NC 28443-2484
(910) 899-1328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4930
ND
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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