Individual
MRS. TIFFANY HAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
116 CUMBERLAND ST., WARTBURG, TN 37887-3788
(423) 215-6520
Mailing address
242 CUMBERLAND MOUNTAIN LN, SUNBRIGHT, TN 37872-2810
(423) 215-6520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2299
TN
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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