Tiedeman, Jane Ann

Tiedeman, Jane Ann is an sole proprietor health care provider with primary practice located at 27313 Dominica Ln , Ramrod Key FL 33042-5453. 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. Tiedeman, Jane Ann can be contacted via phone (305) 923-3820.

Contact Information

Primary practice address
27313 Dominica Ln Ramrod Key FL 33042-5453
Phone: (305) 923-3820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 10529 Florida

Profile Details

NPI number 1770667446
LBN Legal business name Tiedeman, Jane Ann
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Mar 19th, 2010 - about 15 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 1770667446 NPPES
Florida MEDICAID 887682700

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