Individual
HOLLY N. TIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
501 SE 172ND AVE STE 110, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1773
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62983
OR
225100000X
Physical Therapist
Primary
CP004609T
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62983
STATE OF OREGON
OR
Enumeration date
09/10/2018
Last updated
06/02/2021
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