Individual
BEVERLY PIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566
(712) 623-7163
Mailing address
2301 EASTERN AVE, RED OAK, IA 51566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00149
IA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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