Individual
LISA LYNN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
90390 GARDNER LOOP DRIVE, TACOMA, WA 98431-0001
(253) 968-6478
Mailing address
90390 GARDNER LOOP DRIVE, TACOMA, WA 98431-0001
(253) 968-6478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00000931
WA
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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