Individual
MRS. DANIELLE RONQUILLE LIPSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CLT
Contact information
Practice address
1340 BROAD AVE, SUITE 270, GULFPORT, MS 39501-2404
(228) 575-1234
(228) 575-1240
Mailing address
1340 BROAD AVE STE 160, GULFPORT, MS 39501-2445
(228) 575-2906
(228) 865-3058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1900
MS
Other
Enumeration date
12/10/2012
Last updated
10/23/2018
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