Individual
TIFFANY WINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12347162-2401
UT
225100000X
Physical Therapist
PT 30377
FL
Other
Enumeration date
06/06/2015
Last updated
09/26/2024
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