Individual
MARY KRISTINE SIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.PTA
Contact information
Practice address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7677
OR
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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