TIFFANY C MCGOWN

FORT WAYNE, IN
NPI1487874806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001243A)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 10375)
224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA 03454)
Enumeration Date2007-04-26
Last Update Date2025-04-08
Business Address
TIFFANY C MCGOWN COTA
11077 STATE ROAD 3 APT 112
FORT WAYNE, IN 46818-0236
Phone number: 260-446-5179
Mailing Address
TIFFANY C MCGOWN COTA
11077 STATE ROAD 3 APT 112
FORT WAYNE, IN 46818-0236
Phone number: 260-446-5179