| NPI | 1124471602 |
|---|---|
| Former Name | TIFFANY BEUVING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34002) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-07-17 |