Individual
ERIC SIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
611 N BRAND BLVD STE 100, GLENDALE, CA 91203-3240
(747) 286-2600
(747) 204-0181
Mailing address
6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121-3724
(858) 216-8837
(619) 947-0276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
106092
MN
225X00000X
Occupational Therapist
Primary
21726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106092
MINNESOTA BOARD OF OCCUPATIONAL THERAPY PRACTICE
MN
01
—
21726
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
—
427800
NBCOT
—
Enumeration date
05/18/2020
Last updated
01/11/2023
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