Individual
TIFFANY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 585-4100
Mailing address
59 OXFORD ST, FAIRHAVEN, MA 02719-3246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4333
—
Other
Enumeration date
11/14/2018
Last updated
07/28/2021
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