| NPI | 1427277490 |
|---|---|
| Former Name | TIFFANY PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2512) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C1627) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-12-27 |