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Individual

TIFFANY WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
253 LINDSAY ST UNIT B, ALCOA, TN 37701-2070
(865) 201-0213
Mailing address
2204 ORCHARD MEADE LN, KNOXVILLE, TN 37923-1376
(865) 518-3969

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7466
TN

Other

Enumeration date
11/28/2022
Last updated
02/11/2026
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