TIFFANY LONG

IRVING, TX
NPI1134542053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KS  17-02581)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  2007015367)
Enumeration Date2014-01-28
Last Update Date2014-01-28
Business Address
-- TIFFANY LONG OTR/L
5001 STATESMAN DR
IRVING, TX 75063-2414
Phone number: 469-759-8510
Mailing Address
-- TIFFANY LONG OTR/L
5001 STATESMAN DR
IRVING, TX 75063-2414
Phone number: 469-759-8510