Individual
TIFFANY ANN SEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10470 DIBERVILLE BLVD STE H, DIBERVILLE, MS 39540-2419
(228) 280-8120
(228) 280-8121
Mailing address
10470 DIBERVILLE BLVD STE H, DIBERVILLE, MS 39540-2419
(228) 280-8120
(228) 280-8121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6088
MS
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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