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Individual

TIFFANY L HABICHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
313 HAZEL ST APT 3, WARREN, PA 16365-4935
(814) 230-8451
Mailing address
313 HAZEL ST APT 3, WARREN, PA 16365-4935
(814) 230-8451

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007199-1
NY

Other

Enumeration date
02/10/2009
Last updated
10/03/2014
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