Individual
TIFFANY NICOLA LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3018 E COLORADO BLVD STE 100, PASADENA, CA 91107-3840
(616) 449-3900
(626) 449-4505
Mailing address
2459 FEDERAL AVE, LOS ANGELES, CA 90064-2915
(310) 994-2376
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT37977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT37977
STATE OF CALIFORNIA
CA
Enumeration date
07/26/2011
Last updated
11/29/2018
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