Individual
CHANNING TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
177 N HIGHLAND ST, MEMPHIS, TN 38111-4747
(901) 325-4000
Mailing address
6867 BIRCH LAKE DR, MEMPHIS, TN 38119-8752
(901) 554-9255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2373
TN
Other
Enumeration date
04/15/2025
Last updated
04/16/2025
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