Individual
ANTHONY TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
(225) 791-2891
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
(225) 791-2891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8401
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A8401
PTA LICENSE #- A8401
LA
Enumeration date
10/23/2013
Last updated
10/23/2013
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