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Organization
TRACIE L. SIPPLE, PT
Active
Organization
TRACIE L. SIPPLE, PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LORIECE SIPPLE PT (PHYSICAL THERAPIST)
(505) 220-3401
Entity
Organization
Contact information
Practice address
312 E READER ST, ELBURN, IL 60119-6014
(505) 220-3401
Mailing address
PO BOX 504, LAFOX, IL 60147-0504
(505) 220-3401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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