Provider Demographics
NPI:1346493483
Name:TOPP, TIFFANY N (OTR/L, CLT-ALM)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:TOPP
Suffix:
Gender:F
Credentials:OTR/L, CLT-ALM
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:N
Other - Last Name:MOULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:10516 BERE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-6645
Mailing Address - Country:US
Mailing Address - Phone:304-216-1487
Mailing Address - Fax:
Practice Address - Street 1:10516 BERE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-6645
Practice Address - Country:US
Practice Address - Phone:304-216-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6769225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist