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Tiffany Claire Villarta Lumayog

Occupational Therapy Assistant in Towson, MD. Individual provider (NPI-1).

NPI number1760107718
StatusActive
Last updated in NPPESOct 11, 2022

Details

NPI
1760107718
Entity type
Individual (NPI-1)
Name
Tiffany Claire Villarta Lumayog
Sex
Female
Sole proprietor
No
Enumeration date
Oct 11, 2022
Certification date
Oct 11, 2022
Last updated
Oct 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantA02677MDYes
225XG0600X Occupational Therapist, GerontologyA02677MD

Practice location

509 E Joppa Rd
Towson, MD 21286-5404

Phone 410-828-9494

Mailing address

509 E Joppa Rd
Towson, MD 21286-5404

Phone 410-828-9494

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