Individual
MRS. LISA KAYE RIPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR
Contact information
Practice address
17615 W MOORE, GRANT, MI 49327-9408
(231) 834-0208
Mailing address
17615 W MOORE, PO BOX 518, GRANT, MI 49327-9408
(231) 834-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007298
MI
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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