MISS Tiffany Anne Theis, B.A

NPI #1376758854 in Pacoima, California

Provider Information

NPI Number
1376758854
Entity Type
Individual
Name
MISS Tiffany Anne Theis, B.A
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Credential
B.A
Enumeration Date
May 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12510 VAN NUYS BLVD
ZIP Code
91331
Phone
(626) 831-6828

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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