Individual
TIFFANY CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1393 BOWLES AVE, FENTON, MO 63026-2355
(636) 275-0047
Mailing address
8979 LINDENHURST DR, SAINT LOUIS, MO 63126-2448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017029378
MO
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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