Individual
LINETTE PIPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 BRIGHTLY WAY, GLEN CARBON, IL 62034-3415
(618) 978-7061
Mailing address
200 BRIGHTLY WAY, GLEN CARBON, IL 62034-3415
(618) 978-7061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004027
IL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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