Individual
TIFFANY LOUISE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
260 S BUHL FARM DR, HERMITAGE, PA 16148-2526
(724) 347-3050
Mailing address
260 S BUHL FARM DR, HERMITAGE, PA 16148-2526
(724) 347-3050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006678
PA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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