MISS Tiffany Marie Korrer, PTA

NPI #1861797060 in Plummer, Idaho

Provider Information

NPI Number: 1861797060
Entity Type: Individual
Name: MISS Tiffany Marie Korrer, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 19, 2011
Last Updated: Jan 19, 2011

Practice Location

Address: 1100 A. STREET
City: Plummer
State: Idaho
ZIP Code: 83851
Phone: (208) 686-7041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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