Individual
MS. JEAN L WIPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT, CTRS
Contact information
Practice address
508 FULTON ST, PM&RS 117, DURHAM, NC 27705-3875
(919) 286-6874
(919) 416-5913
Mailing address
508 FULTON ST, PM&RS 117, DURHAM, NC 27705-3875
(919) 286-6874
(919) 416-5913
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
561
NC
Other
Enumeration date
05/31/2006
Last updated
11/10/2009
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