Individual
BETSY TIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CLUBVIEW DR, CHARLESTON, WV 25309-9771
(304) 481-5884
Mailing address
116 CLUBVIEW DR, CHARLESTON, WV 25309-9771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001876
WV
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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