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NPI Code Detail

MEDICARE: TIFFANY FERRELL M.S., OTR/L

MEDICARE: TIFFANY FERRELL M.S., OTR/L
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
1225X00000XOccupational Therapist11454CA

General Provider Information

NPI Number : 1982093142
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY FERRELL M.S., OTR/L
Provider Business Mailing Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 562-428-4681
Fax Number :
Provider Business Practice Location Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 562-428-4681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 01/12/2015

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