Tiffany Ice
Tiffany Ice is an Occupational Therapist in Private Practice in Ballwin, Missouri. Qualified in 2008, 18 years ago. Practices with Empowerme Rehabilitation Missouri LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 18
- Licensed in
- MO
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
312 Solley DrBallwin, MO 63021-5248
Phone: (636) 391-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 2008027075 (MO) |
Record details
| NPI number | 1417373291 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 17, 2014 |
| Last updated in NPPES | September 15, 2023 |
| Certification date | September 15, 2023 |
| Mailing address | 312 Solley Dr, Ballwin, MO 63021-5248 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Empowerme Rehabilitation Missouri Llc — 206 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ballwin
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ABA Consulting Services, LLC
444 Sovereign Ct, Ballwin, MO 63011-4432 · (314) 750-0068
-
MS. Cynthia Renee Ballentine, OTR
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-
Radiology Consultants Midwest Inc
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-
Miss. Ashley Ellen Smith, OTR/L
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