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Contact Information

TIFFANY S DALE, MS, OTR/L
130 MAIN ST
CLERMONT, GA30527
 Phone: 678-616-3099
 Fax: 770-406-6840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIFFANY S DALE · (Female)

NPI Number 1255839072
Status Active
Credentials MS, OTR/L
Entity Individual
Enumeration date 01/26/2018
Last updated 05/24/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # OT006940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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