Individual
DR. CASEY D TIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3961 LADOGA AVE, LONG BEACH, CA 90808
(727) 251-8905
Mailing address
3961 LADOGA AVE, LONG BEACH, CA 90808
(727) 251-8905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40389
CA
Other
Enumeration date
04/17/2014
Last updated
01/31/2021
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