Individual
TIFFANY COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 MINTON RD, WEST MELBOURNE, FL 32904-6607
(321) 220-0295
Mailing address
2397 COGAN DR SE, PALM BAY, FL 32909-8478
(321) 543-1151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15950
FL
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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