Individual
MADELYN MARIE TRIPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
LA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
02/22/2023
Last updated
03/23/2023
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