Individual
MRS. GEORGIA SUE TIPSWORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
22923 BUCCANEER LN, CUDJOE KEY, FL 33042-4248
(850) 380-5428
Mailing address
22923 BUCCANEER LN, CUDJOE KEY, FL 33042-4248
(850) 380-5428
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
9720
FL
225X00000X
Occupational Therapist
Primary
9720
FL
Other
Enumeration date
01/28/2019
Last updated
02/24/2019
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