Individual
MRS. MARIE MICHAEL TIPPENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATE
Contact information
Practice address
12301 TAFT ST STE 200, PEMBROKE PINES, FL 33026-4387
(954) 312-3449
Mailing address
4340 BEECHWOOD CIR, WESTON, FL 33331-5012
(954) 217-3056
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11635
FL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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