Individual
MS. TIFFANY AALIYAH HERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9750 NW 33RD STREET, SUITE 209, CORAL SPRINGS, FL 33065
(954) 509-3776
(954) 827-0308
Mailing address
9750 NW 33RD STREET, SUITE 209, CORAL SPRINGS, FL 33065
(954) 509-3776
(954) 827-0308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19001
FL
Other
Enumeration date
06/27/2022
Last updated
05/02/2025
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