Individual
MS. ANITA ELLEN SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66325 REDWOOD RD, NORTH LIBERTY, IN 46554-9456
(574) 274-7881
Mailing address
66325 REDWOOD RD, NORTH LIBERTY, IN 46554-9456
(574) 274-7881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004034A
IN
225200000X
Physical Therapy Assistant
Primary
2086360
TX
225200000X
Physical Therapy Assistant
TEI003078
PA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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