Individual
CLYDE NEAL LIPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1121 ROUTE 47 S, RIO GRANDE, NJ 08242-1600
(609) 886-1551
(609) 886-5608
Mailing address
2 S SUNSET DR, WOODBINE, NJ 08270-9642
(609) 886-1551
(609) 886-5608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00384700
NJ
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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