Individual
TIFFANY STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 S HAMILTON ST, SHERIDAN, IN 46069-1415
(317) 758-5728
Mailing address
10410 RUNVIEW CIR, FISHERS, IN 46038-2086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005306A
IN
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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