Individual
TIFFANIE ELISE REAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
46 KIM WINONA CT, FLEETWOOD, PA 19522-8847
(610) 207-8349
Mailing address
46 KIM WINONA CT, FLEETWOOD, PA 19522-8847
(610) 207-8349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010265
PA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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