Mims, Tiffany C

Mims, Tiffany C is an individual health care provider with primary practice located at 6218 Holgate Dr , Fort Wayne IN 46816-1521. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mims, Tiffany C can be contacted via phone (260) 348-3403.

Contact Information

Primary practice address
6218 Holgate Dr Fort Wayne IN 46816-1521
Phone: (260) 348-3403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32001243A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 10375 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 03454 Ohio

Profile Details

NPI number 1487874806
LBN Legal business name Mims, Tiffany C
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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