Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 20894 | MD |
NPI | 1003296559 |
---|---|
Provider Name | Katherine Ortlieb Tiffey |
First Address | Rockville, MD 20852-1008 |
Second Address | Rockville, MD 20852-1008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2015 |
Last Update Date | 30/05/2015 |