Individual
TIFFANY NICOLE ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3901 DUTCHMANS LN, SUITE 104, LOUISVILLE, KY 40207-4722
(502) 899-9927
(502) 899-5810
Mailing address
3901 DUTCHMANS LN, SUITE 104, LOUISVILLE, KY 40207-4722
(502) 899-9927
(502) 899-5810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3584
TN
225X00000X
Occupational Therapist
R4158
KY
Other
Enumeration date
06/04/2008
Last updated
04/27/2009
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