Individual
SHANNA HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 FORT WORTH AVE, DALLAS, TX 75211-1703
(214) 206-9470
Mailing address
2516 CENTENARY DR, FLOWER MOUND, TX 75028-4545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096101
TX
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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