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Individual
AMANDA SUE PIPPINGER
Active
Individual
AMANDA SUE PIPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 2059
AR
225X00000X
Occupational Therapist
Primary
OTR2532
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157415721
—
AR
Enumeration date
03/27/2007
Last updated
08/31/2012
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