Individual
JOHN VIPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18109 PRINCE PHILIP DR, OLNEY, MD 20832
(301) 774-8882
Mailing address
15030 KENWOOD CT, WOODBINE, MD 21797-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
07/11/2018
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