Individual
AMANDA SUE PIPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 2059
AR
225X00000X
Occupational Therapist
Primary
OTR2532
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157415721
—
AR
Enumeration date
03/27/2007
Last updated
08/31/2012
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