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Individual

TIFFANY GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(903) 532-1400
(903) 532-6575
Mailing address
5465 BRAESVALLEY DR APT 530, HOUSTON, TX 77096-3124
(225) 620-5815

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213314
TX

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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