| NPI | 1710216114 |
|---|---|
| Former Name | TIFFANY LYNN BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31003695A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R2926) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |