TIFFANY JACQUELINE SALAS

FORT WAYNE, IN
NPI1134646086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002301A)
Enumeration Date2017-08-22
Last Update Date2017-08-22
Business Address
TIFFANY JACQUELINE SALAS Cota
10445 DUPONT OAKS BLVD
FORT WAYNE, IN 46845-8792
Phone number: 260-205-8584
Mailing Address
TIFFANY JACQUELINE SALAS Cota
10445 DUPONT OAKS BLVD
FORT WAYNE, IN 46845-8792
Phone number: