Individual
MRS. TERRA PIEPER IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
105 S BLAIR ST, SPRINGDALE, AR 72764-4410
(479) 259-2339
Mailing address
105 S BLAIR ST, SPRINGDALE, AR 72764-4410
(479) 259-2339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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