Individual
MRS. DUSTANN LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4206 MEEK RD, CENTERVILLE, IN 47330-9783
(765) 277-2128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001325A
IN
Other
Enumeration date
08/19/2008
Last updated
07/21/2022
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