SearchCalifornia225XP0200X

Ivory Tifa, OTR/L

NPI 1013399922 · on the registry since 2015

Practice

Address
1476 Augusta St
Beaumont, CA 92223
Phone
(917) 406-4435

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California