Individual
MRS. REBECCA LYNN LULL-TIPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
445 W MICHIGAN AVE, KALAMAZOO, MI 49007-3750
(269) 615-6104
Mailing address
445 W MICHIGAN AVE, KALAMAZOO, MI 49007-3750
(269) 615-6104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005727
MI
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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