Tiffany Nicole Bourget, OTR/L Valid NPI
Individual provider · Contractor · Georgetown, KY
- NPI
- 1740460302
- Type
- Individual (Type 1)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- License number
- KY-R3242 (KY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-11-11
- Last updated
- 2007-11-11
Practice location
306 Concord Ct
Georgetown, KY 40324-1404
(859) 576-2973