Individual
TIFFANY HOLLOWAY-SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 349-6544
Mailing address
146 N LOREL AVE, CHICAGO, IL 60644-3303
(773) 450-2829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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