Individual
TIFFANY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 944-7970
Mailing address
2515 S MELROSE ST, TACOMA, WA 98405-2651
(913) 908-1322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61282561
WA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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