Provider Demographics
NPI:1437217148
Name:LAMONDE, TIFFANY ALLYN (DPT)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:ALLYN
Last Name:LAMONDE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 HAW CREEK CIR STE 503
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6572
Mailing Address - Country:US
Mailing Address - Phone:770-855-5621
Mailing Address - Fax:855-849-5620
Practice Address - Street 1:1445 HAW CREEK CIR STE 503
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6572
Practice Address - Country:US
Practice Address - Phone:770-855-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist