DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIFFANY CLINARD LARSON

MEDICARE: TIFFANY CLINARD LARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist9020NC
2225100000XPhysical Therapist6025SC

General Provider Information

NPI Number : 1699002881
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY CLINARD LARSON
Provider Business Mailing Address
First Line : 10443 PROVIDENCE ARBOURS DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 FULLWOOD RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-2659
Country : US
Telephone Number : 704-841-4920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2009
Last Update Date : 07/16/2014

Similar Medicare Providers

1043144207 — LILLIE H MARINO
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-841-4920
Practice Fax:
1881647006 — COMPREHENSIVE REHABILITATION OF THE CAROLINAS, PLLC
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-942-5872
Practice Fax: 866-227-0449
1083711626 — WESSEL'S NURSING HOME OF MATTHEWS, INC.
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-841-4920
Practice Fax: 704-841-4700
1659495794 — G.I.B.I.S. INC.
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-841-4920
Practice Fax: 704-841-4700
1508018409 — WESSEL'S NURSING HOME OF MATTHEWS
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-841-4920
Practice Fax: 704-841-4700
1568614469 — WESSEL'S NURSING HOME OF MATTHEWS
Practice Location Address:
600 FULLWOOD RD
MATTHEWS, NC
28105-2659
Practice Phone: 704-841-4920
Practice Fax: 704-841-4700

Directions to “ TIFFANY CLINARD LARSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.