Individual
MICHELLE R. PIPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. P. T.
Contact information
Practice address
17999 W. SURPRISE FARMS LOOP SOUTH, SURPRISE, AZ 85388
(623) 876-7388
Mailing address
3637 W CHARLESTON AVE, GLENDALE, AZ 85308-2808
(602) 561-5213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2536
PT LICENSE NUMBER
AZ
Enumeration date
01/25/2007
Last updated
07/08/2007
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