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Tiffany Banda, PTA
NPI 1043653918 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1309 Crow Creek Rd
Bettendorf, IA 52722 - Phone
- (801) 635-7653
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-10
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 Iowa