Tiffany Nicole Edwards, COTA/L

NPI #1700243615 in Marietta, South Carolina

Provider Information

NPI Number: 1700243615
Entity Type: Individual
Name: Tiffany Nicole Edwards, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: Jan 22, 2016
Last Updated: Jan 22, 2016

Practice Location

Address: 155 WOODLAND RD
City: Marietta
State: South Carolina
ZIP Code: 29661-9734
Phone: (864) 483-0387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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