Individual
ADREAN LYNN TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT R/L
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Mailing address
15212 COUNTY ROUTE 76, ADAMS CENTER, NY 13606-2148
(315) 767-9218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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