TIFFANY LYN HARLESS

SOUTH CHARLESTON, WV
NPI1720763337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  001332)
Enumeration Date2023-06-20
Last Update Date2023-06-20
Business Address
TIFFANY LYN HARLESS PTA
4825 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1365
Phone number: 304-346-9667
Mailing Address
TIFFANY LYN HARLESS PTA
4825 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1365
Phone number: 304-346-9667