Individual
CARLA A TIPPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1415 W MOUND RD, DECATUR, IL 62526-1263
(217) 824-2991
Mailing address
2114 EASTWOOD DR, TAYLORVILLE, IL 62568-9083
(217) 824-2991
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
056003368
IL
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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