Individual
MRS. SUSAN ELIZABETH GIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S ROSLYN ST, DENVER, CO 80231-3745
(720) 398-0783
Mailing address
1339 BAILEY AVE, DELTONA, FL 32725-5851
(386) 748-6343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT14219
FL
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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