Individual
JOSEPH MICHAEL IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
89 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7917
(541) 342-1632
(541) 636-3478
Mailing address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 342-1632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
379317
OR
225XH1200X
Hand Occupational Therapist
26943
NY
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
09/27/2022
Last updated
04/08/2026
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