Individual
MISTY TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 WOODLAWN WAY, GULF BREEZE, FL 32563-9597
(918) 636-4406
Mailing address
1493 WOODLAWN WAY, GULF BREEZE, FL 32563-9597
(918) 636-4406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16158
FL
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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