Individual
LISA PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 VILLA DR, DAPHNE, AL 36526-4653
(251) 621-4431
Mailing address
19822 LAWRENCE RD, FAIRHOPE, AL 36532-4924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4411
AL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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