Birt, Tiffany

Birt, Tiffany is an individual health care provider with primary practice located at 100 Lindsey Ln B, Kingsland GA 31548-6850. 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. Birt, Tiffany can be contacted via phone (912) 510-6104.

Contact Information

Primary practice address
100 Lindsey Ln B Kingsland GA 31548-6850
Phone: (912) 510-6104
Fax: (912) 882-6134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003805 Georgia

Profile Details

NPI number 1669479838
LBN Legal business name Birt, Tiffany
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2005
Last updated Feb 27th, 2008 - about 18 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 1669479838 NPPES
Georgia MEDICAID 606878709E

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