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1710393756
TIFFANY DAVIS
LOUISVILLE, KY
NPI
1710393756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A3760)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
Ms. TIFFANY DAVIS COTA/L
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-361-2301
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Mailing Address
Ms. TIFFANY DAVIS COTA/L
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215-1130
Phone number: 502-361-2301
Copy
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