Individual
MIRANDA LIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10110 DON S POWERS DR, MUNSTER, IN 46321-4069
(219) 961-9480
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007074A
IN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/17/2020
Last updated
02/03/2025
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