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Individual

TIFFANY S M PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830
Mailing address
1514 OWENS ST, GADSDEN, AL 35904-4938
(256) 543-1030
(256) 439-2830

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5040
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH5040
PROFESSIONAL LICENSE #
AL
Enumeration date
06/29/2007
Last updated
07/08/2007
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