Individual
COREEN WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
600 S. FRANKLIN, ELK POINT, SD 57025
(605) 356-2622
Mailing address
PO BOX 358, ELK POINT, SD 57025-0358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004816
IA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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