Individual
CODY WIPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 2ND AVE NE STE 900, SAINT PETERSBURG, FL 33701-3434
(813) 690-1327
Mailing address
2916 W BAY VISTA AVE APT 2, TAMPA, FL 33611-1657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18590
FL
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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