Individual
MS. TIFFANIE ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
105 W WINDSOR ST, DEMOPOLIS, AL 36732-3617
(334) 289-2741
Mailing address
PO BOX 363, UNIONTOWN, AL 36786-0363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3680
AL
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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