Individual
MRS. LORI MARIE PIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1710 MOORES LN, TEXARKANA, TX 75503-1858
(903) 794-2705
(903) 793-0058
Mailing address
PO BOX 186, MAUD, TX 75567-0186
(903) 585-3322
(903) 585-2915
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109611
TX
225XP0200X
Pediatric Occupational Therapist
OTR1547
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021289601
—
TX
Enumeration date
10/19/2006
Last updated
07/06/2020
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