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Contact Information

TIFFANY R MARCUM, OTR/L
3387 GULF BREEZE PARKWAY
GULF BREEZE, FL32563
 Phone: 850-530-8189
 Fax:
 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 R MARCUM · (Female)

NPI Number 1508195207
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 12/09/2009
Last updated 06/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 15394
  • FL Other 15394 MANAGED CARE AND MEDICARE PART B
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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