Richardson, Tiffany Levonne

Richardson, Tiffany Levonne is an sole proprietor health care provider with primary practice located at 550 N Monterey Ave , Ontario CA 91764-3318. 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. Richardson, Tiffany Levonne can be contacted via phone (909) 391-0333.

Contact Information

Primary practice address
550 N Monterey Ave Ontario CA 91764-3318
Phone: (909) 391-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 8043 California

Profile Details

NPI number 1689918930
LBN Legal business name Richardson, Tiffany Levonne
Credentials MOTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2012
Last updated Nov 26th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689918930 NPPES
California Other 8043 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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