Individual
ABBY DANIELLE TIPPECONNIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NW 66TH STREET, SUITE 925, OKLAHOMA CITY, OK 73116
(405) 286-3749
Mailing address
1112 NE 16TH ST, OKLAHOMA CITY, OK 73117-1016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5454
OK
Other
Enumeration date
03/15/2021
Last updated
04/30/2024
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