Individual
COURTNEY L HIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 E BROAD ST, CAMILLA, GA 31730-1809
(122) 988-1115
(229) 336-1151
Mailing address
130 E BROAD ST, CAMILLA, GA 31730-1809
(122) 988-1115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004399
GA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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