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NPI Code Detail

MEDICARE: TIFFANY JAMES

MEDICARE:   TIFFANY  JAMES
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
1225200000XPhysical Therapy AssistantJ2-0001100DE
2225200000XPhysical Therapy AssistantA3804MD

General Provider Information

NPI Number : 1972945640
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY JAMES
Provider Business Mailing Address
First Line : 100 SAINT CLAIRE DR
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-8906
Country : US
Telephone Number : 302-234-5420
Fax Number :
Provider Business Practice Location Address
First Line : 100 SAINT CLAIRE DR
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-8906
Country : US
Telephone Number : 302-234-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2013
Last Update Date : 03/17/2018

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Directions to “ TIFFANY JAMES ” Practice Location

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