| NPI | 1215993126 |
|---|---|
| Former Name | TIFFANY BERNHOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13760) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004304) |
| 225X00000X Occupational Therapist (Licence: AL 3802) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-11-04 |