Individual
MISS TIFFANY ANN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
904 ISAAC STREETS DR, OREGON, OH 43616-3204
(419) 691-2483
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(419) 691-2483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA07487
OH
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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