Tiffany Branch, OT
Occupational Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982185955
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1982185955
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Branch
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT19245 | FL | Yes |
Practice location
11401 Old Saint Augustine RdJacksonville, FL 32258-1402
Phone 904-260-1818
Mailing address
9502 103rd St Apt 1Jacksonville, FL 32210-8651
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