Ice, Tiffany

Ice, Tiffany is an sole proprietor health care provider with primary practice located at 312 Solley Dr , Ballwin MO 63021-5248. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Ice, Tiffany can be contacted via phone (636) 391-0666.

Contact Information

Primary practice address
312 Solley Dr Ballwin MO 63021-5248
Phone: (636) 391-0666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2008027075 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1417373291
LBN Legal business name Ice, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2014
Last updated Sep 15th, 2023 - about last year

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.

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