Individual
TYLER TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 N OTTOKEE ST, WAUSEON, OH 43567-1906
(419) 377-4575
Mailing address
710 N HARVEST LN, WAUSEON, OH 43567-1467
(419) 356-2674
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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