Provider Demographics
NPI:1750987376
Name:DOWNS, TIFFANY (COTA/L)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26740 ROSEWOOD POINTE LN UNIT 202
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-6588
Mailing Address - Country:US
Mailing Address - Phone:740-250-8375
Mailing Address - Fax:
Practice Address - Street 1:850 RETREAT DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-7925
Practice Address - Country:US
Practice Address - Phone:888-539-4842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA17934224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant