Individual
TIFFANY BROWN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 FLEETWOOD DR, VICKSBURG, MS 39180-9316
(318) 471-5268
Mailing address
106 FLEETWOOD DR, VICKSBURG, MS 39180-9316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116961
TX
225X00000X
Occupational Therapist
Primary
OT-3172
MS
Other
Enumeration date
07/31/2015
Last updated
06/14/2023
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