Tiffany M Mccorison, OT | |
810 E 23rd St, Sioux Falls, SD 57105-2135 | |
(605) 331-5890 | |
Not Available |
Full Name | Tiffany M Mccorison |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 810 E 23rd St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578600904 | NPI | - | NPPES |
5836680 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 103414 (Minnesota) | Primary |
Provider Name | Revolution Sport & Spine Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598215170 PECOS PAC ID: 6507146412 Enrollment ID: O20161212001847 |
Mailing Address | Practice Location Address |
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Tiffany M Mccorison, OT 810 E 23rd St, Sioux Falls, SD 57105-2135 Ph: (605) 331-5890 | Tiffany M Mccorison, OT 810 E 23rd St, Sioux Falls, SD 57105-2135 Ph: (605) 331-5890 |
Mary Taylor Lee, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5020 S Tennis Ln Ste 6, Sioux Falls, SD 57108 Phone: 605-409-9533 | |
Timothy David Myers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-334-5630 Fax: 605-332-5327 | |
Jenna Ann Houseman, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 N West Ave Ste 210, Sioux Falls, SD 57104 Phone: 605-231-2490 | |
Beth M Micke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 W 26th St, Sioux Falls, SD 57105 Phone: 605-782-2300 Fax: 605-782-2301 | |
Polly Ann Rames, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N West Ave, Ste 210, Sioux Falls, SD 57104 Phone: 605-338-9891 | |
Eric Szymonski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-334-5630 Fax: 605-332-5327 | |
Leslie A Bouma, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 West 69th Street, Suite 105, Sioux Falls, SD 57108 Phone: 605-331-0044 Fax: 605-331-0088 |