Tiffany Roark, OT | |
34515 9th Ave S, Federal Way, WA 98003-6761 | |
(253) 944-7970 | |
Not Available |
Full Name | Tiffany Roark |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 34515 9th Ave S, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801516547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT61282561 (Washington) | Primary |
Provider Name | Sundance Circle Hippotherapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588257687 PECOS PAC ID: 4587035126 Enrollment ID: O20230119000280 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Roark, OT 2515 S Melrose St, Tacoma, WA 98405-2651 Ph: (913) 908-1322 | Tiffany Roark, OT 34515 9th Ave S, Federal Way, WA 98003-6761 Ph: (253) 944-7970 |
Cheryl Ramadan-jradi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 South 336th Street, Suite 210, Federal Way, WA 98003 Phone: 866-835-8091 | |
Katie Gustavson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091 | |
Nicole Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, Federal Way, WA 98003 Phone: 253-835-5769 | |
Maryanne Church Trettenero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, 210, Federal Way, WA 98003 Phone: 866-835-8091 Fax: 888-835-7102 | |
Carrie Kathryn Harstad, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29880 9th Ave Sw, Federal Way, WA 98023 Phone: 253-318-2298 | |
Jennifer Nguyen, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1010 S 336th St Ste 112, Federal Way, WA 98003 Phone: 253-904-0208 | |
Denise Nickell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091 |