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Individual
DR. JOHN ANTHONY IPPOLITO
Active
Individual
DR. JOHN ANTHONY IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00588400
NJ
225X00000X
Occupational Therapist
63017424
NY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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