Individual
MRS. TIFFANY WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
550 E. GATE DR., AIKEN, SC 29803
(803) 643-3694
Mailing address
550 EAST GATE DR., AIKEN, SC 29803
(803) 643-3694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3503
SC
Other
Enumeration date
09/04/2024
Last updated
09/05/2024
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