Crawford, Tyffanie Michele
Crawford, Tyffanie Michele is an sole proprietor health care provider with primary practice located at 2412 Cours Carson St , Mandeville LA 70448-6408. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Crawford, Tyffanie Michele can be contacted via phone (985) 624-6609.Contact Information
Primary practice address
2412 Cours Carson St
Mandeville LA 70448-6408
Phone: (985) 624-6609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | Z11850 | Louisiana |
Profile Details
| NPI number | 1851422448 |
|---|---|
| LBN Legal business name | Crawford, Tyffanie Michele |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851422448 | NPPES |
| Louisiana | MEDICAID | 1304042 |
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