Individual
HANNAH KIZZARRAH TIPPINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Mailing address
3079 LAKEVIEW DR, LAURENS, SC 29360-4361
(864) 684-4545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4786
SC
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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