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Individual

TANDY T JIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1483 SW BOUGAINVILLEA AVE, PORT ST LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
6644 POINTE OF WOODS DR, WEST PALM BEACH, FL 33413-3801
(561) 360-0627

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10830
FL

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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