Individual
MS. TAMMY LYNN PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14101 PARKE LONG CT, CHANTILLY, VA 20151-1645
(605) 380-6993
Mailing address
12154 WEDGEWAY CT, FAIRFAX, VA 22033-2514
(605) 380-6993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0538
SD
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
0119006366
VA
Other
Enumeration date
05/18/2007
Last updated
06/16/2018
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