Individual
MS. SUE L KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
907 KANSAS AVE., PHILLIPSBURG, KS 67661-2500
(785) 543-5190
Mailing address
907 KANSAS AVE., PHILLIPSBURG, KS 67661-2500
(785) 543-5190
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800366
KS
224Z00000X
Occupational Therapy Assistant
671
NE
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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