| NPI | 1427300284 |
|---|---|
| Former Name | TIFFANY NIA HARTSHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3738) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21153) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2016-09-20 |