Individual
TIFFANY LYNEA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., OTR/L
Contact information
Practice address
7463 S QUAIL CIR APT 313, LITTLETON, CO 80127-4922
(949) 338-0779
Mailing address
7463 S QUAIL CIR APT 313, LITTLETON, CO 80127-4922
(949) 338-0779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003969
CO
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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