Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY NICOLE EDWARDS, COTA/L
Active Sole ProprietorTIFFANY NICOLE EDWARDS, COTA/L is a Occupational Therapy Assistant healthcare provider located in MARIETTA, South Carolina. NPI 1700243615 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MARIETTA, SC
Registration Details
- NPI Number
- 1700243615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2016 (10.553565783833 yrs)
- Last Updated
- Jan 22, 2016
- Licenses
-
10033 (NC)3510 (SC)TA2852 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 WOODLAND RDMARIETTA, SC, 296619734Browse SC providers · Browse ZIP 29661
- Phone
- 8644830387
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Occupational Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.