Tiffany Hall, COTA/L
Occupational Therapy Assistant in Placerville, CA. Individual provider (NPI-1).
NPI number1982150041
StatusActive
Last updated in NPPESAug 29, 2016
Details
- NPI
- 1982150041
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Hall
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Aug 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 3194 | CA | Yes |
Practice location
1040 Marshall WayPlacerville, CA 95667-5706
Phone 530-622-3400
Mailing address
1040 Marshall WayPlacerville, CA 95667-5706
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