Individual
AMY ELEANIS TIPPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 ADAMS AVE STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
Mailing address
17344 SAN LUIS ST APT 4, FOUNTAIN VALLEY, CA 92708-3795
(714) 673-8528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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