Tiffany Michelle Leeth

NPI #1538433321 in Shalimar, Florida

Provider Information

NPI Number: 1538433321
Entity Type: Individual
Name: Tiffany Michelle Leeth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 1200 HAWTHORN HOUSE DR
City: Shalimar
State: Florida
ZIP Code: 32579-1168
Phone: (850) 651-1892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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