Individual
TIFFANY DIANE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
44 OCEANVIEW AVE, FARMINGVILLE, NY 11738-1936
(516) 639-2493
Mailing address
44 OCEANVIEW AVE, FARMINGVILLE, NY 11738-1936
(516) 639-2493
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008159
NY
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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