Individual
MS. TIFFANY TYREE SUMTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
827 NORVIEW AVE, NORFOLK, VA 23509-1540
(757) 853-6281
Mailing address
3405 VERDUN AVE, NORFOLK, VA 23509-2635
(757) 321-0341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602352
VA
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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